Individual provider · Type 1 NPI

Liline Theagene

Clinical Social Worker · New York, NY

NPI number 1750107967 Active

Practice location

350 5th Ave
New York, NY 10118-0110

Call (610) 483-7518 Map

Mailing address

300 45th St S
Fargo, ND 58103-1189

Other practice locations

  • 100 Universal City Plz, Universal City, CA 91608-1002 · (610) 483-7518
  • 300 45th St S Ste 318, Fargo, ND 58103-6511 · (610) 483-1578

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Family Psychologist 103TF0000XNone listed
School Psychologist 103TS0200XNone listed
Clinical Social Worker Primary 1041C0700XNone listed

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 1750107967

Liline Theagene's National Provider Identifier is 1750107967, issued on Dec 3, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New York, NY. The record was last updated on Feb 17, 2025.