Individual provider · Type 1 NPI

Stephanie Pennacchia, LCSW

Clinical Social Worker · New York, NY

NPI number 1790420164 Active

Practice location

1789 Madison Ave
New York, NY 10035-4537

Other practice locations

  • 6863 108th St Apt 3H, Forest Hills, NY 11375-2928 · (845) 656-1302

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X092232-01 (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 1790420164

Stephanie Pennacchia, LCSW's National Provider Identifier is 1790420164, issued on Apr 30, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New York, NY. The record was last updated on May 3, 2022.