Individual provider · Type 1 NPI
Deserie Matos I, LCSW
Clinical Social Worker · Queens Village, NY
Practice location
22427 Manor Rd
Queens Village, NY 11427-2005
Mailing address
PO Box 260054
Bellerose, NY 11426-0054
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | R046582-01 (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 1285348292
Deserie Matos I, LCSW's National Provider Identifier is 1285348292, issued on Jan 13, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Queens Village, NY. The record was last updated on Jan 13, 2023.