Individual provider · Type 1 NPI

Barbara Wissemann

Clinical Social Worker · Coram, NY

NPI number 1750935797 Active

Practice location

1844 Route 112 Ste A
Coram, NY 11727-2337

Call (631) 736-7707 Map

Mailing address

21 Renee Pl
Massapequa Park, NY 11762-3522

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X078729-1 (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…

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About NPI 1750935797

Barbara Wissemann's National Provider Identifier is 1750935797, issued on Jul 29, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Coram, NY. The record was last updated on Jul 29, 2019.