Individual provider · Type 1 NPI

Thomas McIntyre, LCSW

Clinical Social Worker · Port Jefferson Station, NY

NPI number 1366477309 Active

Practice location

1050 Hallock Ave
Port Jefferson Station, NY 11776-1214

Call (631) 804-4699 Map

Mailing address

27 Ravine Rd
Miller Place, NY 11764-1428

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XR053696 (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 1366477309

Thomas McIntyre, LCSW's National Provider Identifier is 1366477309, issued on Jul 11, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Jul 8, 2007.