Individual provider · Type 1 NPI

Marisa Boulukos, LCSWR

Clinical Social Worker · Massapequa, NY

NPI number 1437203320 Active

Practice location

75 Grand Ave
Massapequa, NY 11758-4905

Call (516) 799-3202 Map

Mailing address

57 Crescent Cove Ct
Seaford, NY 11783-3649

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XR042317-1 (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 1437203320

Marisa Boulukos, LCSWR's National Provider Identifier is 1437203320, issued on Jan 22, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Massapequa, NY. The record was last updated on Jul 8, 2007.