Individual provider · Type 1 NPI

Charles Eisenberg, LCSW-R

Clinical Social Worker · Coram, NY

NPI number 1659759892 Active

Practice location

141 Birchwood Rd
Coram, NY 11727-3675

Mailing address

3259 44th St, Apt 2L
Astoria, NY 11103-2306

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X036633 (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 1659759892

Charles Eisenberg, LCSW-R's National Provider Identifier is 1659759892, issued on May 7, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Coram, NY. The record was last updated on Feb 17, 2016.