Individual provider · Type 1 NPI

Kimberly Standfast, LCSW

Clinical Social Worker · Woodside, NY

NPI number 1184809022 Active

Practice location

6120 Woodside Ave
Woodside, NY 11377-3557

Call (718) 779-1234 Map

Fax (718) 779-7775

Mailing address

193 N Country Rd
Smithtown, NY 11787-2104

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X089664 (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 1184809022

Kimberly Standfast, LCSW's National Provider Identifier is 1184809022, issued on Jan 9, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Woodside, NY. The record was last updated on Feb 23, 2023.