Individual provider · Type 1 NPI

Iris J. Gersten-Thornburg, LCSW-R

Clinical Social Worker · Glendale, NY

NPI number 1366460495 Active

Practice location

6729 Myrtle Ave
Glendale, NY 11385-7063

Fax (718) 456-9470

Mailing address

457 13th St
Brooklyn, NY 11215-5206

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XRO24501-1 (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 1366460495

Iris J. Gersten-Thornburg, LCSW-R's National Provider Identifier is 1366460495, issued on Jul 17, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Glendale, NY. The record was last updated on Jul 9, 2007.