Individual provider · Type 1 NPI

Awilda Jackanin, LCSW

Clinical Social Worker · New York, NY

NPI number 1508889346 Active

Practice location

111 East 59th Street, Lighthouse International
New York, NY 10022-1202

Fax (212) 821-9710

Mailing address

Lighthouse International 111 East 59th Street
New York, NY 10022-1202

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XR057061 (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 1508889346

Awilda Jackanin, LCSW's National Provider Identifier is 1508889346, issued on Jul 25, 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 Jul 8, 2007.