Individual provider · Type 1 NPI

Maureen Dervin, LCSW

Clinical Social Worker · Southampton, NY

NPI number 1174679369 Active

Practice location

97 Breese Ln
Southampton, NY 11968-4003

Mailing address

PO Box 956
Southampton, NY 11969-0956

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW R027892 (NY)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1174679369

Maureen Dervin, LCSW's National Provider Identifier is 1174679369, issued on Jan 28, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Southampton, NY. The record was last updated on Nov 2, 2023.