Individual provider · Type 1 NPI

Latia M. Doctry, MSW LCSW

Clinical Social Worker · South Orange, NJ

NPI number 1760694541 Active

Practice location

6 South Orange Ave
South Orange, NJ 07079-1702

Fax (732) 397-1737

Mailing address

422 East Milton Ave
Rahway, NJ 07065-5116

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X44SC01363700 (NJ)

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 1760694541

Latia M. Doctry, MSW LCSW's National Provider Identifier is 1760694541, issued on May 4, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in South Orange, NJ. The record was last updated on Jul 8, 2007.