Individual provider · Type 1 NPI

Tanya Jennifer Fevola, LCSW-R

Clinical Social Worker · Commack, NY

NPI number 1407007586 Active

Practice location

283 Commack Rd, Suite #100
Commack, NY 11725-6021

Call (631) 462-1032 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XR0714781 (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 1407007586

Tanya Jennifer Fevola, LCSW-R's National Provider Identifier is 1407007586, issued on Oct 7, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Commack, NY. The record was last updated on Oct 7, 2008.