Individual provider · Type 1 NPI

Theo Bickford, LMSW

Clinical Social Worker · New York, NY

NPI number 1659254597 Active

Practice location

139 Fulton St
New York, NY 10038-2594

Call (917) 748-2240 Map

Mailing address

166 Beach 113th St
Rockaway Park, NY 11694-2403

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X128189 (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 1659254597

Theo Bickford, LMSW's National Provider Identifier is 1659254597, issued on Jul 29, 2025. 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 29, 2025.