Individual provider · Type 1 NPI
Laura Jeanne Syvertson, LCSW
Clinical Social Worker · Ithaca, NY
Practice location
319 N Tioga
Ithaca, NY 14850
Mailing address
409 Elm St
Ithaca, NY 14850
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 097203-01 (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 1295088979
Laura Jeanne Syvertson, LCSW's National Provider Identifier is 1295088979, issued on Oct 18, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ithaca, NY. The record was last updated on Oct 3, 2025.