Individual provider · Type 1 NPI

Patrick Bryan Granelli, LCSW

Clinical Social Worker · Ridgewood, NJ

NPI number 1306181938 Active

Practice location

112 Prospect St
Ridgewood, NJ 07450-4489

Fax (201) 444-0698

Mailing address

16 Westervelt Ave
Hawthorne, NJ 07506-3817

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X44SC05512300 (NJ)

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 1306181938

Patrick Bryan Granelli, LCSW's National Provider Identifier is 1306181938, issued on Dec 8, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ridgewood, NJ. The record was last updated on Dec 8, 2012.