Individual provider · Type 1 NPI

Michael Gignoux Upston I, LCSW

Clinical Social Worker · Bronx, NY

NPI number 1306921465 Active

Practice location

750 Astor Ave
Bronx, NY 10467-9304

Fax (718) 798-7633

Mailing address

5424 Arlington Ave Apt H61
Bronx, NY 10471-1273

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XR062739-1 (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 1306921465

Michael Gignoux Upston I, LCSW's National Provider Identifier is 1306921465, issued on Oct 26, 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 Jul 8, 2007.