Individual provider · Type 1 NPI

Bruce Webb Eaken Iii, LCSW

Clinical Social Worker · New York, NY

NPI number 1639513682 Active

Practice location

1841 Broadway Fl 4
New York, NY 10023-7603

Mailing address

4863 Broadway Apt 3P
New York, NY 10034-3157

Other practice locations

  • 348 13th St, Suite 202, Brooklyn, NY 11215-6177 · (718) 788-2461

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X085465 (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 1639513682

Bruce Webb Eaken Iii, LCSW's National Provider Identifier is 1639513682, issued on Apr 22, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New York, NY. The record was last updated on Jul 21, 2022.