Individual provider · Type 1 NPI
Mary Agnes Mantilla, LCSW
Clinical Social Worker · Poughkeepsie, NY
Practice location
3 Neptune Rd Ste A18F
Poughkeepsie, NY 12601-5500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 068980-1 (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 1609868439
Mary Agnes Mantilla, LCSW's National Provider Identifier is 1609868439, issued on Aug 18, 2005. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Poughkeepsie, NY. The record was last updated on Mar 30, 2017.