Individual provider · Type 1 NPI

Kevin M. Coleman Sr., LCSW-R

Clinical Social Worker · Blue Point, NY

NPI number 1275667982 Active

Practice location

20 Montauk Hwy
Blue Point, NY 11715-1139

Fax (631) 363-0027

Mailing address

1960 Bayberry Ave, Slip #2
Merrick, NY 11566-5561

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X070653-1 (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 1275667982

Kevin M. Coleman Sr., LCSW-R's National Provider Identifier is 1275667982, issued on Mar 15, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Blue Point, NY. The record was last updated on Jul 8, 2007.