Individual provider · Type 1 NPI

Stacey Marie Bogart, LCSW

Clinical Social Worker · Waterloo, NY

NPI number 1306914874 Active

Practice location

1083 Waterloo Geneva Rd
Waterloo, NY 13165-1202

Call (315) 539-4049 Map

Fax (315) 539-4394

Mailing address

26 Van Renssalaer St
Seneca Falls, NY 13148-1706

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X071798-1 (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 1306914874

Stacey Marie Bogart, LCSW's National Provider Identifier is 1306914874, issued on Dec 1, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Waterloo, NY. The record was last updated on Jul 8, 2007.