Individual provider · Type 1 NPI

Vida Ann Nathanson, LCSW

Clinical Social Worker · Ellenville, NY

NPI number 1407925571 Active

Practice location

50 Center St
Ellenville, NY 12428-1315

Mailing address

191B Cherry Hill Rd.
Accord, NY 12404

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X054616 (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 1407925571

Vida Ann Nathanson, LCSW's National Provider Identifier is 1407925571, issued on Nov 6, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ellenville, NY. The record was last updated on Jul 8, 2007.