Individual provider · Type 1 NPI

John Joseph Derosalia, LCSW-R

Clinical Social Worker · Kingston, NY

NPI number 1669491163 Active

Practice location

276 Fair St
Kingston, NY 12401-3848

Fax (845) 331-8384

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XR015144 (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 1669491163

John Joseph Derosalia, LCSW-R's National Provider Identifier is 1669491163, issued on Jul 18, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Kingston, NY. The record was last updated on Oct 25, 2026.