Individual provider · Type 1 NPI

Anne Louise Fordham, LCSW

Clinical Social Worker · Newark, NY

NPI number 1306479357 Active

Practice location

1159 E Union St Apt 1
Newark, NY 14513-9201

Mailing address

1159 E Union St
Newark, NY 14513-9201

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X088130-1 (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 1306479357

Anne Louise Fordham, LCSW's National Provider Identifier is 1306479357, issued on Feb 18, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Newark, NY. The record was last updated on Feb 18, 2020.