Individual provider · Type 1 NPI

Nicole Wood, LCSW

Clinical Social Worker · Port Jefferson, NY

NPI number 1669157913 Active

Practice location

646 Main St
Port Jefferson, NY 11777-2235

Call (631) 928-9808 Map

Fax (903) 209-7200

Mailing address

35 Puritan Path
Port Jefferson, NY 11777-1456

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X089066-01 (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 1669157913

Nicole Wood, LCSW's National Provider Identifier is 1669157913, issued on Jun 15, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Port Jefferson, NY. The record was last updated on Jun 15, 2023.