Organization · Type 2 NPI
Clinical, Consultation and Supervision Services LCSW PLLC
Clinical Social Worker · Bronx, NY
Practice location
3510 Bainbridge Ave Apt S1
Bronx, NY 10467-1419
Fax (888) 812-4062
Mailing address
319 Tonetta Lake Rd
Brewster, NY 10509-4134
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | R063179 (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 1629329438
Clinical, Consultation and Supervision Services LCSW PLLC's National Provider Identifier is 1629329438, issued on Sep 20, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bronx, NY. The record was last updated on Jan 8, 2013.