Individual provider · Type 1 NPI
John Carlin Tiedemann, LMSW
Clinical Social Worker · New York, NY
Practice location
19 Union Sq W
New York, NY 10003-3304
Mailing address
145 E 15th St Apt 7F
New York, NY 10003-3537
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 106643 (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 1639836869
John Carlin Tiedemann, LMSW's National Provider Identifier is 1639836869, issued on Nov 22, 2021. 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 Nov 22, 2021.