Individual provider · Type 1 NPI

Marisa Bassett De la Garza, MSW, LCSW

Clinical Social Worker · Fayetteville, NY

NPI number 1699832576 Active

Practice location

217 Highbridge St Apt 9
Fayetteville, NY 13066-1967

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XRC00047900 (WA)
Clinical Social Worker Primary 1041C0700X084302-1 (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 1699832576

Marisa Bassett De la Garza, MSW, LCSW's National Provider Identifier is 1699832576, issued on Jan 2, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fayetteville, NY. The record was last updated on Aug 17, 2016.