Individual provider · Type 1 NPI

Vivian Abano Bollmann, CLINICAL SOCIAL WORK

Clinical Social Worker · Port Jefferson, NY

NPI number 1649390725 Active

Practice location

1 High Street, Hope House Ministries
Port Jefferson, NY 11777

Mailing address

2705 Falcon Ave
Medford, NY 11763

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X075265 (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 1649390725

Vivian Abano Bollmann, CLINICAL SOCIAL WORK's National Provider Identifier is 1649390725, issued on Mar 30, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Port Jefferson, NY. The record was last updated on Jul 8, 2007.