Individual provider · Type 1 NPI

Mary Theresa Sise, LCSW

Clinical Social Worker · Latham, NY

NPI number 1265404636 Active

Practice location

596 New Loudon Rd
Latham, NY 12110-4024

Call (518) 785-8576 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XR-039215 (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 1265404636

Mary Theresa Sise, LCSW's National Provider Identifier is 1265404636, issued on Feb 1, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Latham, NY. The record was last updated on Apr 8, 2013.