Individual provider · Type 1 NPI

Jim K. Inthanongsak

Clinical Social Worker · Bath, NY

NPI number 1326474131 Active

Practice location

76 Veterans Ave
Bath, NY 14810-0810

Call (607) 664-4335 Map

Mailing address

115 Orchard St
Horseheads, NY 14845-2415

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X090203-1 (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 1326474131

Jim K. Inthanongsak's National Provider Identifier is 1326474131, issued on Sep 25, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bath, NY. The record was last updated on Sep 25, 2013.