Individual provider · Type 1 NPI

Martin Jay Golloub, LCSW, BCD

Clinical Social Worker · Glen Cove, NY

NPI number 1659523926 Active

Practice location

66 Sugar Maple Ln
Glen Cove, NY 11542-1632

Fax (516) 759-9503

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XPR014204-1 (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 1659523926

Martin Jay Golloub, LCSW, BCD's National Provider Identifier is 1659523926, issued on Oct 17, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Glen Cove, NY. The record was last updated on Oct 17, 2008.