Individual provider · Type 1 NPI

Jaclyn Petrov, LCSW

Clinical Social Worker · Bronx, NY

NPI number 1578878799 Active

Practice location

3671 Hudson Manor Ter, Apt. 18A
Bronx, NY 10463-1137

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X080748-1 (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 1578878799

Jaclyn Petrov, LCSW's National Provider Identifier is 1578878799, issued on Aug 12, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bronx, NY. The record was last updated on Nov 14, 2013.