Individual provider · Type 1 NPI

Edward J. Enzukewich, LMSW

Clinical Social Worker · Rocky Point, NY

NPI number 1780016980 Active

Practice location

131 Route 25A
Rocky Point, NY 11778-9098

Fax (631) 665-0442

Mailing address

12 Mozart Lane
Bethpage, NY 11714

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X084208 (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 1780016980

Edward J. Enzukewich, LMSW's National Provider Identifier is 1780016980, issued on Jul 30, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rocky Point, NY. The record was last updated on May 22, 2019.