Organization · Type 2 NPI

Great South Bay Therapy LCSW PC

Clinical Social Worker · Bayport, NY

NPI number 1710468517 Active

Practice location

972 Montauk Hwy
Bayport, NY 11705-1612

Call (631) 472-2629 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XR03699 (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 1710468517

Great South Bay Therapy LCSW PC's National Provider Identifier is 1710468517, issued on Aug 28, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bayport, NY. The record was last updated on Jun 11, 2019.