Individual provider · Type 1 NPI

Ivelisse Concepcion, LCSW

Clinical Social Worker · Bronx, NY

NPI number 1629408976 Active

Practice location

4123 3rd Ave
Bronx, NY 10457-6222

Fax (718) 716-2605

Mailing address

145 W 15th St Fl 2
New York, NY 10011-6701

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X088515 (NY)
Clinical Social Worker Primary 1041C0700X084156 (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 1629408976

Ivelisse Concepcion, LCSW's National Provider Identifier is 1629408976, issued on Nov 23, 2013. 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 11, 2017.