Individual provider · Type 1 NPI

Carole Ellen Fudin, PhD, LCSW

Clinical Social Worker · New York, NY

NPI number 1255476685 Active

Practice location

145 E 15th St, Suite 1F
New York, NY 10003-3531

Call (212) 473-0932 Map

Fax (212) 473-0932

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XR-012646-1 (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 1255476685

Carole Ellen Fudin, PhD, LCSW's National Provider Identifier is 1255476685, issued on Feb 21, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New York, NY. The record was last updated on Jul 9, 2007.