Individual provider · Type 1 NPI

Mary Brondou Dousharm, LCSW

Clinical Social Worker · Gouverneur, NY

NPI number 1356643514 Active

Practice location

28 William St
Gouverneur, NY 13642-1405

Call (315) 287-2811 Map

Fax (315) 394-0097

Mailing address

50 Leroy St
Potsdam, NY 13676-1786

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X082898 (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 1356643514

Mary Brondou Dousharm, LCSW's National Provider Identifier is 1356643514, issued on Nov 22, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Gouverneur, NY. The record was last updated on Nov 22, 2019.