Individual provider · Type 1 NPI
Gerald Shephard, LCSW
Clinical Social Worker · Port Jefferson Station, NY
Practice location
164 Howard St
Port Jefferson Station, NY 11776-2520
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | L015893 (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 1205046406
Gerald Shephard, LCSW's National Provider Identifier is 1205046406, issued on May 23, 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 Jul 8, 2007.