Individual provider · Type 1 NPI

Judith Alicia Rose, LCSW

Clinical Social Worker · East Quogue, NY

NPI number 1467653097 Active

Practice location

429 Montauk Hwy
East Quogue, NY 11942-3919

Fax (631) 653-3934

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XRO46867-1 (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 1467653097

Judith Alicia Rose, LCSW's National Provider Identifier is 1467653097, issued on May 30, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in East Quogue, NY. The record was last updated on Jul 8, 2007.