Individual provider · Type 1 NPI
Diane M. Longo, LCSW
Clinical Social Worker · St. Augustine, FL
Practice location
620 21st St
St. Augustine, FL 32084-1706
Fax (904) 824-7895
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | SW10907 (FL) |
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 1497006050
Diane M. Longo, LCSW's National Provider Identifier is 1497006050, issued on Sep 24, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Augustine, FL. The record was last updated on Sep 24, 2012.