Individual provider · Type 1 NPI

John Reilly, LCSW

Clinical Social Worker · Ridgewood, NJ

NPI number 1720475528 Active

Practice location

201 E Ridgewood Ave, 2
Ridgewood, NJ 07450-3864

Mailing address

489 Franklin Ave, None
Wyckoff, NJ 07481-1345

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X44SC04408300 (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 1720475528

John Reilly, LCSW's National Provider Identifier is 1720475528, issued on Apr 20, 2015. 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 20, 2015.