Individual provider · Type 1 NPI

Lisa M. Petersilia, LCSW

Clinical Social Worker · Brooklyn, NY

NPI number 1629146535 Active

Practice location

2020 Coney Island Ave
Brooklyn, NY 11223-2329

Fax (718) 676-4299

Mailing address

101 Clark St, 15F
Brooklyn, NY 11201-2746

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X070051-1 (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 1629146535

Lisa M. Petersilia, LCSW's National Provider Identifier is 1629146535, issued on Nov 30, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Brooklyn, NY. The record was last updated on Jul 8, 2007.