Individual provider · Type 1 NPI

Maria Bautista, LCSW

Clinical Social Worker · New York, NY

NPI number 1407118342 Active

Practice location

276 5th Ave Rm 704
New York, NY 10001-4527

Fax (646) 810-7133

Mailing address

2644 Decatur Ave # 2F
Bronx, NY 10458-4206

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1407118342

Maria Bautista, LCSW's National Provider Identifier is 1407118342, issued on Jun 15, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New York, NY. The record was last updated on Apr 29, 2021.