Individual provider · Type 1 NPI
Carmen Licciardo, LCSW-R
Clinical Social Worker · New York, NY
Practice location
16 Penn Plz, New Yorker Hotel Suite 544
New York, NY 10001-1809
Mailing address
930 Yellowbank Rd
Toms River, NJ 08753-8614
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 015545 (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 1548436611
Carmen Licciardo, LCSW-R's National Provider Identifier is 1548436611, issued on May 7, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New York, NY. The record was last updated on Jul 31, 2012.