Individual provider · Type 1 NPI

Kristofer Mark Isaksen, LCSW

Clinical Social Worker · Baldwin, NY

NPI number 1790337590 Active

Practice location

2277 Grand Ave
Baldwin, NY 11510-3148

Call (516) 377-5400 Map

Fax (516) 377-5490

Mailing address

7 Bluetop Rd
East Setauket, NY 11733-1906

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X104745 (NY)
Clinical Social Worker Primary 1041C0700X096585 (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 1790337590

Kristofer Mark Isaksen, LCSW's National Provider Identifier is 1790337590, issued on Jul 11, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Baldwin, NY. The record was last updated on Mar 26, 2024.