Individual provider · Type 1 NPI

Melissa Bauch

Clinical Social Worker · Ronkonkoma, NY

NPI number 1689105496 Active

Practice location

939 Johnson Ave
Ronkonkoma, NY 11779-6066

Call (631) 471-7242 Map

Mailing address

23 Millstream Ln
Stony Brook, NY 11790-2916

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X093028 (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 1689105496

Melissa Bauch's National Provider Identifier is 1689105496, issued on Mar 23, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ronkonkoma, NY. The record was last updated on May 11, 2022.