Individual provider · Type 1 NPI

Jennifer Ann Tripp, LCSW PERMIT

Clinical Social Worker · Staten Island, NY

NPI number 1194094656 Active

Practice location

375 Seguine Ave, 2 Nd Floor
Staten Island, NY 10309-3932

Call (718) 226-3868 Map

Fax (172) 226-3954

Mailing address

195 Wellington Ct, Apt 2F
Staten Island, NY 10314-7851

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X73 P81824 (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 1194094656

Jennifer Ann Tripp, LCSW PERMIT's National Provider Identifier is 1194094656, issued on Dec 29, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Staten Island, NY. The record was last updated on Dec 29, 2011.