Individual provider · Type 1 NPI

Joanna Suppa, LCSW

Clinical Social Worker · Elmont, NY

NPI number 1730482415 Active

Practice location

621 Elmont Rd
Elmont, NY 11003-4028

Call (516) 616-0671 Map

Mailing address

1 Iris Ct
Hicksville, NY 11801-1803

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X080407 (NY)
Clinical Social Worker Primary 1041C0700X080795 (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 1730482415

Joanna Suppa, LCSW's National Provider Identifier is 1730482415, issued on Dec 17, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Elmont, NY. The record was last updated on Aug 12, 2013.