Individual provider · Type 1 NPI

Amitai Glicksman

Clinical Social Worker · Teaneck, NJ

NPI number 1215832167 Active

Practice location

1169 Sussex Rd
Teaneck, NJ 07666-2770

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X44SC06689700 (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 1215832167

Amitai Glicksman's National Provider Identifier is 1215832167, issued on Oct 12, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Teaneck, NJ. The record was last updated on Oct 12, 2026.