Individual provider · Type 1 NPI

Leah Lisa Mandelbaum, LCSW

Clinical Social Worker · Staten Island, NY

NPI number 1679650329 Active

Practice location

2795 Richmond Ave
Staten Island, NY 10314-5857

Call (718) 761-9800 Map

Fax (718) 370-1142

Mailing address

623 Central Ave Apt 115
Cedarhurst, NY 11516-2207

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X070497-1 (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 1679650329

Leah Lisa Mandelbaum, LCSW's National Provider Identifier is 1679650329, issued on Nov 1, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Staten Island, NY. The record was last updated on Jul 31, 2007.