Individual provider · Type 1 NPI
Guy Anthony Koutouvidis, MSW, LCSW
Clinical Social Worker · Port Jefferson, NY
Practice location
14 E Broadway, Suite 2
Port Jefferson, NY 11777-1400
Fax (631) 642-9525
Mailing address
4 Olivia Dr
Port Jefferson Station, NY 11776-4470
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | R052825-1 (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…
3 other providers at this address
Other clinical social worker providers in Port Jefferson
- Abby Rachel Leefer, LCSWClinical Social Worker Port Jefferson, NY NPI 1003888413
- Alice Rose Miller, LCSWClinical Social Worker Port Jefferson, NY NPI 1043361405
- Susan H. Berg, D.S.W.Clinical Social Worker Port Jefferson, NY NPI 1053449371
- Nicole Marie Tobin, R-LCSWClinical Social Worker Port Jefferson, NY NPI 1093852691
- Robert David Polin, LCSWClinical Social Worker Port Jefferson, NY NPI 1104964410
- Kristina Scaglione, LCSW-RClinical Social Worker Port Jefferson, NY NPI 1124404033
- Paula Ann Lieberman, LCSWClinical Social Worker Port Jefferson, NY NPI 1144203340
- Jacqueline A. Major, LCSWClinical Social Worker Port Jefferson, NY NPI 1144436544
About NPI 1609941814
Guy Anthony Koutouvidis, MSW, LCSW's National Provider Identifier is 1609941814, issued on Nov 22, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Port Jefferson, NY. The record was last updated on Jul 8, 2007.