Individual provider · Type 1 NPI

Gerard A. Polito I, LCSW-R

Clinical Social Worker · Deer Park, NY

NPI number 1760410872 Active

Practice location

1641 Deer Park Ave, Suite C
Deer Park, NY 11729

Mailing address

7 Glen Hollow Dr., Apt. B7
Holtsville, NY 11742

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XR028830-1 (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 1760410872

Gerard A. Polito I, LCSW-R's National Provider Identifier is 1760410872, issued on Jun 29, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Deer Park, NY. The record was last updated on Jul 8, 2007.