Individual provider · Type 1 NPI

Mary Nackley Deangelo, LCSW

Clinical Social Worker · Utica, NY

NPI number 1407809536 Active

Practice location

1427 Genesee St
Utica, NY 13501-4343

Call (315) 738-1428 Map

Fax (315) 738-1461

Mailing address

1020 Mary St
Utica, NY 13501-1930

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X069220 (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 1407809536

Mary Nackley Deangelo, LCSW's National Provider Identifier is 1407809536, issued on May 18, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Utica, NY. The record was last updated on Jun 27, 2008.