Individual provider · Type 1 NPI

Vivian Elizabeth Bugaoan, LCSW

Clinical Social Worker · Northport, NY

NPI number 1225145154 Active

Practice location

79 Middleville Rd, Vamc Sws Northport (122)
Northport, NY 11768-2200

Call (631) 261-4400 Map

Fax (631) 266-7029

Mailing address

111 S Bay Dr
Massapequa, NY 11758-8411

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XR013996-1 (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 1225145154

Vivian Elizabeth Bugaoan, LCSW's National Provider Identifier is 1225145154, issued on Aug 24, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Northport, NY. The record was last updated on Jul 8, 2007.