Individual provider · Type 1 NPI
Jack De Santis, LCSW
Clinical Social Worker · Commack, NY
Practice location
368 Veterans Memorial Highway, Suite #1
Commack, NY 11725-4315
Fax (631) 361-8865
Mailing address
414 Ridgefield Road
Hauppauge, NY 11788-2312
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | PR0047581 (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 1245398197
Jack De Santis, LCSW's National Provider Identifier is 1245398197, issued on Dec 4, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Commack, NY. The record was last updated on Jul 8, 2007.