Individual provider · Type 1 NPI

Leslie Tubul, LCSW

Clinical Social Worker · Montclair, NJ

NPI number 1194237602 Active

Practice location

51 Upper Montclair Plz Ste 25
Montclair, NJ 07043-1340

Mailing address

30 Elizabeth St
Caldwell, NJ 07006-5606

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X44SC05643600 (NJ)

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 1194237602

Leslie Tubul, LCSW's National Provider Identifier is 1194237602, issued on Oct 25, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Montclair, NJ. The record was last updated on Dec 6, 2017.