Individual provider · Type 1 NPI

Kristen Amy Faccioli Licari, LCSW

Clinical Social Worker · Blauvelt, NY

NPI number 1275240137 Active

Practice location

498 Western Hwy
Blauvelt, NY 10913-2000

Fax (845) 359-5286

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X068624 (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 1275240137

Kristen Amy Faccioli Licari, LCSW's National Provider Identifier is 1275240137, issued on Nov 1, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Blauvelt, NY. The record was last updated on Nov 1, 2022.