Individual provider · Type 1 NPI

Fanny Estela Tristan, LCSW

Clinical Social Worker · New York, NY

NPI number 1457606907 Active

Practice location

2090 Adam Clayton Powell Jr Blvd, 7th Floor
New York, NY 10027-4990

Call (917) 485-7280 Map

Fax (718) 772-0289

Mailing address

1250 Ocean Ave Apt 3A
Brooklyn, NY 11230-7432

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X080901 (NY)
Clinical Social Worker Primary 1041C0700X083328 (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 1457606907

Fanny Estela Tristan, LCSW's National Provider Identifier is 1457606907, issued on Jul 20, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New York, NY. The record was last updated on Nov 7, 2016.