Individual provider · Type 1 NPI

Deborah M. Derosa, LCSW

Clinical Social Worker · Port Jefferson, NY

NPI number 1366512873 Active

Practice location

1000 Main St
Port Jefferson, NY 11777-2250

Call (631) 589-2389 Map

Fax (631) 476-2741

Mailing address

151 Hilary St
Oakdale, NY 11769-1807

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X73075144 (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 1366512873

Deborah M. Derosa, LCSW's National Provider Identifier is 1366512873, issued on Nov 9, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Port Jefferson, NY. The record was last updated on Jul 8, 2007.