Individual provider · Type 1 NPI

Doreen M. Bazile, LCSW-R

Clinical Social Worker · Clifton Park, NY

NPI number 1295026680 Active

Practice location

1539 Crescent Rd
Clifton Park, NY 12065-7701

Mailing address

4 Sundial Pl
Clifton Park, NY 12065-8741

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X073078 (NY)
Clinical Social Worker Primary 1041C0700X073078 (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 1295026680

Doreen M. Bazile, LCSW-R's National Provider Identifier is 1295026680, issued on Apr 20, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Clifton Park, NY. The record was last updated on Apr 20, 2011.