Individual provider · Type 1 NPI

Heidi Shydo, LCSW

Clinical Social Worker · New York, NY

NPI number 1215061866 Active

Practice location

25 Central Park W, Suite 1U
New York, NY 10023-7253

Mailing address

6024 Creekstone Ln
Centreville, VA 20120-3407

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X0904016795 (VA)
Clinical Social Worker Primary 1041C0700X076680 (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 1215061866

Heidi Shydo, LCSW's National Provider Identifier is 1215061866, issued on Mar 15, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New York, NY. The record was last updated on Jun 9, 2025.