Individual provider · Type 1 NPI

Deborah M. Petry, LCSW-R

Clinical Social Worker · Deer Park, NY

NPI number 1497856108 Active

Practice location

770 Grand Blvd, Suite 17
Deer Park, NY 11729-5750

Call (631) 392-4357 Map

Fax (631) 392-4358

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X73079052 (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 1497856108

Deborah M. Petry, LCSW-R's National Provider Identifier is 1497856108, issued on Sep 26, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Deer Park, NY. The record was last updated on Jun 5, 2019.