Individual provider · Type 1 NPI

Wendell Margo Maurice Evans, LCSW-R

Clinical Social Worker · Brooklyn, NY

NPI number 1235977968 Active

Practice location

555 Rockaway Pkwy # 113
Brooklyn, NY 11212-3132

Call (718) 240-5121 Map

Fax (718) 240-5121

Mailing address

130 Overlook Ave Apt 12A
Hackensack, NJ 07601-7804

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XRO41606-01 (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 1235977968

Wendell Margo Maurice Evans, LCSW-R's National Provider Identifier is 1235977968, issued on Jul 17, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Brooklyn, NY. The record was last updated on Jul 17, 2024.