Individual provider · Type 1 NPI
Tyler Madore, LCSW
Clinical Social Worker · Ronkonkoma, NY
Practice location
500 Peconic St Apt 113B
Ronkonkoma, NY 11779-7127
Other practice locations
- 21406 69th Ave Apt B, Oakland Gardens, NY 11364-2529 · (203) 841-8259
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | 096032 (NY) |
| Clinical Social Worker Primary | 1041C0700X | 087600 (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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- Angela TeriClinical Social Worker Ronkonkoma, NY NPI 1073928263
- Elizabeth Binstock, LCSWClinical Social Worker Ronkonkoma, NY NPI 1134591514
- Lauren E. GrucciClinical Social Worker Ronkonkoma, NY NPI 1134630759
- Maureen Silver, LCSWClinical Social Worker Ronkonkoma, NY NPI 1154771756
- Derek Robert FarrellClinical Social Worker Ronkonkoma, NY NPI 1194548594
- Katelyn Godden, LCSWClinical Social Worker Ronkonkoma, NY NPI 1255083861
About NPI 1639696628
Tyler Madore, LCSW's National Provider Identifier is 1639696628, issued on Aug 29, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ronkonkoma, NY. The record was last updated on Nov 14, 2018.