Individual provider · Type 1 NPI

Jennie Alyse Restuccia, LCSW

Clinical Social Worker · Wallkill, NY

NPI number 1467374892 Active

Practice location

525 Church St
Wallkill, NY 12589

Mailing address

PO Box 695
Wallkill, NY 12589-0695

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X104183 (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 1467374892

Jennie Alyse Restuccia, LCSW's National Provider Identifier is 1467374892, issued on Jul 28, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wallkill, NY. The record was last updated on Sep 21, 2026.