Organization · Type 2 NPI

Broadhollow Psychotherapy LCSW PLLC

Clinical Social Worker · Farmingdale, NY

NPI number 1669904645 Active

Practice location

565 Broadhollow Rd Ste 6E
Farmingdale, NY 11735-4830

Fax (631) 991-9125

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X076794 (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 1669904645

Broadhollow Psychotherapy LCSW PLLC's National Provider Identifier is 1669904645, issued on Mar 30, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Farmingdale, NY. The record was last updated on Apr 8, 2025.