Individual provider · Type 1 NPI

Susan Joan Bourbin, LACSW-R

Clinical Social Worker · Farmingville, NY

NPI number 1700958212 Active

Practice location

15 Horseblock Place
Farmingville, NY 11738

Call (631) 854-2552 Map

Fax (631) 854-2550

Mailing address

95 Tulipwood Dr
Commack, NY 11725-5625

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XRO49752-1 (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 1700958212

Susan Joan Bourbin, LACSW-R's National Provider Identifier is 1700958212, issued on Nov 14, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Farmingville, NY. The record was last updated on Jul 8, 2007.