Organization · Type 2 NPI

Deeper Well Counseling LCSW PC

Clinical Social Worker · Valley Stream, NY

NPI number 1407700891 Active

Practice location

25 Fletcher Ave
Valley Stream, NY 11580-4040

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 1407700891

Deeper Well Counseling LCSW PC's National Provider Identifier is 1407700891, issued on Feb 24, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Valley Stream, NY. The record was last updated on Feb 24, 2026.