Individual provider · Type 1 NPI

Gina Marie Tedesco, LCSW-R

Clinical Social Worker · Patchogue, NY

NPI number 1497925671 Active

Practice location

142 Carman St
Patchogue, NY 11772-3908

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XSW6855 (FL)
Clinical Social Worker Primary 1041C0700X059766 (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 1497925671

Gina Marie Tedesco, LCSW-R's National Provider Identifier is 1497925671, issued on Mar 4, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Patchogue, NY. The record was last updated on Jan 17, 2023.