Individual provider · Type 1 NPI
John Tavolacci, LCSW
Clinical Social Worker · New York, NY
Practice location
120 Wall St, 17th Floor
New York, NY 10005-3904
Fax (212) 361-3761
Mailing address
207 Howard St
East Williston, NY 11596-1421
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 069437-1 (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…
3 other providers at this address
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About NPI 1750823506
John Tavolacci, LCSW's National Provider Identifier is 1750823506, issued on Nov 10, 2016. 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 Nov 10, 2016.