Organization · Type 2 NPI

IV Licensed Clinical Social Work P.c.

Adolescent and Children Mental Health Clinic/Center · Brooklyn, NY

NPI number 1295188076 Active

Practice location

4812 Bedford Ave, Apt 1A
Brooklyn, NY 11235-8603

Call (718) 234-1212 Map

Specialties and licenses

TaxonomyCodeLicense
Adolescent and Children Mental Health Clinic/Center Primary 261QM0855X069657 (NY)

Adolescent and Children Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

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About NPI 1295188076

IV Licensed Clinical Social Work P.c.'s National Provider Identifier is 1295188076, issued on Jul 18, 2016. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Brooklyn, NY. The record was last updated on Jul 18, 2016.