Individual provider · Type 1 NPI

Wade Anthony Hathaway, LCSW

Clinical Social Worker · Bronx, NY

NPI number 1295742724 Active

Practice location

130 W Kingsbridge Rd, 5B-09-C, Jj Peters Vamc,
Bronx, NY 10468

Call (718) 584-9000 Map

Fax (718) 741-4709

Mailing address

3218 Cambridge Ave, No 3
Bronx, NY 10463

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X72-068851 (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 1295742724

Wade Anthony Hathaway, LCSW's National Provider Identifier is 1295742724, issued on Aug 1, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bronx, NY. The record was last updated on Jan 12, 2009.