Individual provider · Type 1 NPI

Stephen Brazeau, LCSW-R

Clinical Social Worker · Port Jefferson Station, NY

NPI number 1508901075 Active

Practice location

1050 Hallock Ave
Port Jefferson Station, NY 11776-1214

Fax (631) 928-3651

Mailing address

59 W 19th St
Huntington Station, NY 11746-3121

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XR054344 (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 1508901075

Stephen Brazeau, LCSW-R's National Provider Identifier is 1508901075, issued on Feb 21, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Jul 8, 2007.