Individual provider · Type 1 NPI

Anthony Joseph Canonico Jr., LCSW

Clinical Social Worker · Peekskill, NY

NPI number 1174947360 Active

Practice location

1 Park Pl Ste 200
Peekskill, NY 10566-3891

Fax (914) 761-5367

Mailing address

845 N Broadway
White Plains, NY 10603-2427

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X095781 (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 1174947360

Anthony Joseph Canonico Jr., LCSW's National Provider Identifier is 1174947360, issued on Feb 10, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Peekskill, NY. The record was last updated on Oct 18, 2023.