Individual provider · Type 1 NPI

Dai Phan, LCSW

Clinical Social Worker · Elizabeth, NJ

NPI number 1659612174 Active

Practice location

615 N Broad St
Elizabeth, NJ 07208-3409

Call (908) 355-7886 Map

Fax (908) 469-6520

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X44SL05403600 (NJ)

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 1659612174

Dai Phan, LCSW's National Provider Identifier is 1659612174, issued on Mar 7, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Elizabeth, NJ. The record was last updated on Mar 7, 2013.