Individual provider · Type 1 NPI

Debbie Fassula, LCSW

Clinical Social Worker · Huntington, NY

NPI number 1508991563 Active

Practice location

775 Park Ave, Suite 200-1
Huntington, NY 11743-3976

Mailing address

25 West St
Northport, NY 11768-1248

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X070945-1 (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 1508991563

Debbie Fassula, LCSW's National Provider Identifier is 1508991563, issued on Feb 22, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Huntington, NY. The record was last updated on Jul 8, 2007.