Individual provider · Type 1 NPI

Christina Soubasis, LCSW

Clinical Social Worker · Manahawkin, NJ

NPI number 1215968458 Active

Practice location

81 Nautilus Dr
Manahawkin, NJ 08050-2448

Fax (609) 597-6684

Mailing address

160 Atlantic City Blvd
Bayville, NJ 08721-1229

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X44SC05262100 (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 1215968458

Christina Soubasis, LCSW's National Provider Identifier is 1215968458, issued on Jul 5, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Manahawkin, NJ. The record was last updated on Jul 8, 2007.