Individual provider · Type 1 NPI

Greyson Soukup

Clinical Social Worker · Brooklyn, NY

NPI number 1649863879 Active

Practice location

7701 13th Ave
Brooklyn, NY 11228-2413

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	099328 (NY)
Clinical Psychologist	103TC0700X	109210 (NY)
Social Worker	104100000X	109210 (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 1649863879

Greyson Soukup's National Provider Identifier is 1649863879, issued on Feb 18, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Brooklyn, NY. The record was last updated on Feb 19, 2025.