Organization · Type 2 NPI

Coaching for Life

Clinical Social Worker · Patchogue, NY

NPI number 1508264086 Active

Practice location

475 E Main St, Ste 211
Patchogue, NY 11772-3121

Call (631) 569-4646 Map

Mailing address

22 Viking Dr
West Islip, NY 11795-5046

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X082048 (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 1508264086

Coaching for Life's National Provider Identifier is 1508264086, issued on Dec 15, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Patchogue, NY. The record was last updated on Dec 15, 2014.