Organization · Type 2 NPI

Eastern Door Licensed Clinical Social Work, PC

Clinical Social Worker · Rensselaer, NY

NPI number 1528500337 Active

Practice location

620 Washington Ave
Rensselaer, NY 12144-1300

Fax (518) 252-7073

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed
Community/Behavioral Health Agency 251S00000XNone listed

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…

11 other providers at this address

About NPI 1528500337

Eastern Door Licensed Clinical Social Work, PC's National Provider Identifier is 1528500337, issued on Nov 10, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rensselaer, NY. The record was last updated on Mar 26, 2025.