Organization · Type 2 NPI

Tri State Counseling and Mediation LCSW PLLC

Clinical Social Worker · New York, NY

NPI number 1487738761 Active

Practice location

38 W 32nd St Ste 1511
New York, NY 10001-3875

Call (917) 215-2169 Map

Fax (801) 708-0844

Mailing address

25403 84th Dr, Registered Office
Floral Park, NY 11001-1009

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XR044004-01 (NY)
Clinical Social Worker 1041C0700X44SC01333400 (NJ)
School Social Worker 1041S0200X523650470 (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 1487738761

Tri State Counseling and Mediation LCSW PLLC's National Provider Identifier is 1487738761, issued on Oct 24, 2006. 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 Jun 11, 2020.