Individual provider · Type 1 NPI
Jean Hudson Teitelbaum, LCSW-R
Clinical Social Worker · Ithaca, NY
Practice location
103 W Seneca St Ste 303A
Ithaca, NY 14850-4145
Fax (607) 272-9454
Mailing address
212 Monroe St
Ithaca, NY 14850-3444
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | RO37527-1 (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…
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About NPI 1407066178
Jean Hudson Teitelbaum, LCSW-R's National Provider Identifier is 1407066178, issued on May 23, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ithaca, NY. The record was last updated on Apr 1, 2015.