Organization · Type 2 NPI

Tides Psychotherapy Services, LLC

Clinical Social Worker · Mahwah, NJ

NPI number 1609168384 Active

Practice location

900 Darlington Avenue
Mahwah, NJ 07430

Mailing address

6 Vail Street
Nutley, NJ 07110

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X44SC05284000 (NJ)

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 1609168384

Tides Psychotherapy Services, LLC's National Provider Identifier is 1609168384, issued on May 12, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mahwah, NJ. The record was last updated on May 12, 2011.