Individual provider · Type 1 NPI

Mary Ng-Tedjasukmana, LCSW

Clinical Social Worker · Brooklyn, NY

NPI number 1376829119 Active

Practice location

1863 W 8th St
Brooklyn, NY 11223-2549

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X081483-1 (NY)
Clinical Social Worker Primary 1041C0700X44SC05712100 (NJ)

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 1376829119

Mary Ng-Tedjasukmana, LCSW's National Provider Identifier is 1376829119, issued on Oct 25, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Brooklyn, NY. The record was last updated on Jul 28, 2020.