Individual provider · Type 1 NPI

Katie M. Holmes, LCSW, PhD

Clinical Social Worker · Bay Shore, NY

NPI number 1538214879 Active

Practice location

14 Shore Lane
Bay Shore, NY 11706-8734

Call (631) 666-6873 Map

Mailing address

94 Ocean Ave
Bay Shore, NY 11706-8716

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	075114 (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 1538214879

Katie M. Holmes, LCSW, PhD's National Provider Identifier is 1538214879, issued on Jan 25, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bay Shore, NY. The record was last updated on Jul 8, 2007.