Individual provider · Type 1 NPI

Kerri A. Coburn, LCSW-R

Clinical Social Worker · Cornwall, NY

NPI number 1679840706 Active

Practice location

2 Ashley Way
Cornwall, NY 12518-2141

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XRO47645-1 (NY)
School Social Worker 1041S0200XNone listed

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 1679840706

Kerri A. Coburn, LCSW-R's National Provider Identifier is 1679840706, issued on Nov 17, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Cornwall, NY. The record was last updated on Nov 17, 2011.