Individual provider · Type 1 NPI

Jordan Conrad, PhD, LCSW

Clinical Social Worker · New York, NY

NPI number 1265916902 Active

Practice location

1123 Broadway
New York, NY 10010-2007

Call (929) 352-0449 Map

Mailing address

1123 Broadway Ste 308
New York, NY 10010-2093

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X092469 (NY)
Clinical Social Worker 1041C0700X103802-1 (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 1265916902

Jordan Conrad, PhD, LCSW's National Provider Identifier is 1265916902, issued on Sep 19, 2018. 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 Jan 21, 2022.