Individual provider · Type 1 NPI

Maryellen Geronimo Reyes, LCSW-R

Clinical Social Worker · Staten Island, NY

NPI number 1396219820 Active

Practice location

2285 Victory Blvd
Staten Island, NY 10314-6631

Call (646) 409-7687 Map

Mailing address

80 Walters Ave
Staten Island, NY 10301-4121

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X051767 (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 1396219820

Maryellen Geronimo Reyes, LCSW-R's National Provider Identifier is 1396219820, issued on Jan 17, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Staten Island, NY. The record was last updated on Jan 17, 2019.