Individual provider · Type 1 NPI

Jeannine Maynard

Clinical Social Worker · Brooklyn, NY

NPI number 1760870513 Active

Practice location

77 Clinton Street
Brooklyn, NY 11205-0000

Fax (718) 834-4782

Mailing address

650 Fulton St
Brooklyn, NY 11217-1517

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X020926-1 (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 1760870513

Jeannine Maynard's National Provider Identifier is 1760870513, issued on Jan 2, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Brooklyn, NY. The record was last updated on Jan 2, 2015.