Individual provider · Type 1 NPI

Susan Vanderpool, R.N., L.C.S.W.-R

Clinical Social Worker · Peconic, NY

NPI number 1396058152 Active

Practice location

32636 County Rd. 48
Peconic, NY 11958

Mailing address

P.o.box 432
Orient, NY 11957

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X679702 (NY)
Clinical Social Worker Primary 1041C0700XR037455-1 (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…

About NPI 1396058152

Susan Vanderpool, R.N., L.C.S.W.-R's National Provider Identifier is 1396058152, issued on Jul 22, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Peconic, NY. The record was last updated on Jul 21, 2022.