Individual provider · Type 1 NPI

Jaime Samantha Balis, LCSW

Clinical Social Worker · Jericho, NY

NPI number 1235548793 Active

Practice location

82 Bounty Ln
Jericho, NY 11753-2210

Mailing address

245 E 63rd St Apt 32G
New York, NY 10065-7432

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X086530-01 (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 1235548793

Jaime Samantha Balis, LCSW's National Provider Identifier is 1235548793, issued on Aug 10, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jericho, NY. The record was last updated on Apr 27, 2022.