Individual provider · Type 1 NPI

Paul Vincent Soper, LCSW-R

Clinical Social Worker · Ithaca, NY

NPI number 1679071377 Active

Practice location

110 Ho Plaza, Cornell University
Ithaca, NY 14853

Call (607) 255-5155 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XR079341-1 (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 1679071377

Paul Vincent Soper, LCSW-R's National Provider Identifier is 1679071377, issued on Jan 28, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ithaca, NY. The record was last updated on Jan 28, 2018.