Individual provider · Type 1 NPI

Kathleen Stack

Clinical Social Worker · Brooklyn, NY

NPI number 1548314131 Active

Practice location

189 Montague St, Suite 436
Brooklyn, NY 11201-3610

Fax (718) 643-3455

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X074478 (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 1548314131

Kathleen Stack's National Provider Identifier is 1548314131, issued on Jan 22, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Brooklyn, NY. The record was last updated on Jan 11, 2008.