Individual provider · Type 1 NPI

Domenica A. South, LCSW

Clinical Social Worker · Peekskill, NY

NPI number 1407807837 Active

Practice location

50 Dayton Ln, Andrus Children's Center Mental Health Division
Peekskill, NY 10566-2859

Call (914) 736-3371 Map

Fax (914) 736-3372

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X067024 (NY)
Clinical Social Worker Primary 1041C0700X076020 (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 1407807837

Domenica A. South, LCSW's National Provider Identifier is 1407807837, issued on May 12, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Peekskill, NY. The record was last updated on Nov 20, 2009.