Individual provider · Type 1 NPI

Carmen Villavicencio, LCSW

Clinical Social Worker · Woodside, NY

NPI number 1598074106 Active

Practice location

4610 61st St
Woodside, NY 11377-5766

Call (917) 291-1160 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X079481 (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 1598074106

Carmen Villavicencio, LCSW's National Provider Identifier is 1598074106, issued on Sep 29, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Woodside, NY. The record was last updated on Nov 9, 2012.