Individual provider · Type 1 NPI
Debra Lograno Dazzo, LCSW
Clinical Social Worker · Port Jefferson Station, NY
Practice location
204 Patchogue Rd
Port Jefferson Station, NY 11776-1021
Mailing address
15 Eden Dr
Smithtown, NY 11787-1204
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | None listed |
| Clinical Social Worker Primary | 1041C0700X | 073436 (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 1194918110
Debra Lograno Dazzo, LCSW's National Provider Identifier is 1194918110, issued on Aug 22, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Mar 1, 2024.