Individual provider · Type 1 NPI

Tracey F. Kunkin, L.M.S.W.

Clinical Social Worker · Staten Island, NY

NPI number 1265656326 Active

Practice location

3974 Amboy Rd, 3rd Fl
Staten Island, NY 10308-2414

Fax (718) 984-5165

Mailing address

161 14th St, #2
Hoboken, NJ 07030-4417

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X066954-1 (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 1265656326

Tracey F. Kunkin, L.M.S.W.'s National Provider Identifier is 1265656326, issued on Apr 12, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Staten Island, NY. The record was last updated on Jul 8, 2007.