Individual provider · Type 1 NPI

Deborah R. Kourgelis, LCSW

Clinical Social Worker · Ridgewood, NJ

NPI number 1700029477 Active

Practice location

163 Dayton St
Ridgewood, NJ 07450-4407

Call (201) 694-1648 Map

Mailing address

115 Franklin Tpke # 198
Mahwah, NJ 07430-1325

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X44SC05300400 (NJ)

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 1700029477

Deborah R. Kourgelis, LCSW's National Provider Identifier is 1700029477, issued on Apr 10, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ridgewood, NJ. The record was last updated on Apr 10, 2009.