Individual provider · Type 1 NPI
Maryellen Banker, LCSW-R
Clinical Social Worker · Newburgh, NY
Practice location
100 Stony Brook Ct Ste 21
Newburgh, NY 12550-6519
Fax (845) 762-1001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | R-045580-1 (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 1629472857
Maryellen Banker, LCSW-R's National Provider Identifier is 1629472857, issued on Oct 17, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Newburgh, NY. The record was last updated on Oct 20, 2026.