Organization · Type 2 NPI

Fortitude Licensed Clinical Social Work PLLC

Clinical Social Worker · Bohemia, NY

NPI number 1629982145 Active

Practice location

80 Orville Dr Ste 100
Bohemia, NY 11716-2505

Call (419) 581-9810 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1629982145

Fortitude Licensed Clinical Social Work PLLC's National Provider Identifier is 1629982145, issued on Oct 1, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bohemia, NY. The record was last updated on Oct 1, 2026.