Individual provider · Type 1 NPI

Diane Odessa Seaman, LCSW, BCD

Clinical Social Worker · Port Jefferson Station, NY

NPI number 1578611729 Active

Practice location

1050 Hallock Ave, Suite #1
Port Jefferson Station, NY 11776-1214

Call (631) 467-2554 Map

Fax (631) 467-6649

Mailing address

18 Forest Rd
Centereach, NY 11720-2244

Specialties and licenses

TaxonomyCodeLicense
Pastoral Counselor 101YP1600XNone listed
Clinical Social Worker Primary 1041C0700X027099-1 (NY)
Marriage & Family Therapist 106H00000XNone 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…

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About NPI 1578611729

Diane Odessa Seaman, LCSW, BCD's National Provider Identifier is 1578611729, issued on Jan 6, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Dec 16, 2011.