Individual provider · Type 1 NPI

Shani Lisa Profeta, LCSW

Clinical Social Worker · Smithtown, NY

NPI number 1285835371 Active

Practice location

70 Lawrence Ave
Smithtown, NY 11787-3607

Fax (631) 665-6853

Mailing address

70 Lawrence Ave.
Smithtown, NY 11787-3607

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XPRO25178-1 (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 1285835371

Shani Lisa Profeta, LCSW's National Provider Identifier is 1285835371, issued on May 29, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Smithtown, NY. The record was last updated on Jul 8, 2007.