Individual provider · Type 1 NPI

Kenneth C. Gaughran, LMSW

Clinical Social Worker · Patchogue, NY

NPI number 1184201634 Active

Practice location

475 E Main St Ste 100
Patchogue, NY 11772-3121

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X111646-01 (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 1184201634

Kenneth C. Gaughran, LMSW's National Provider Identifier is 1184201634, issued on Mar 29, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Patchogue, NY. The record was last updated on Mar 29, 2021.