Individual provider · Type 1 NPI

Susan Mary Deisroth, LCSW

Clinical Social Worker · New York, NY

NPI number 1306993498 Active

Practice location

99 University Place, 6th Floor
New York, NY 10003

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XR0298881 (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 1306993498

Susan Mary Deisroth, LCSW's National Provider Identifier is 1306993498, issued on Jan 4, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New York, NY. The record was last updated on Jul 8, 2007.