Organization · Type 2 NPI

Crescent Light Counseling, Lcsw, PLLC

Clinical Social Worker · Port Jefferson, NY

NPI number 1275280620 Active

Practice location

646 Main St Ste 102
Port Jefferson, NY 11777-2230

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1275280620

Crescent Light Counseling, Lcsw, PLLC's National Provider Identifier is 1275280620, issued on Mar 6, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Port Jefferson, NY. The record was last updated on Mar 28, 2022.