Individual provider · Type 1 NPI

Gina Marie Fattibene, LCSW

Clinical Social Worker · Riverhead, NY

NPI number 1790836070 Active

Practice location

1380 Roanoke Ave, Suite 201
Riverhead, NY 11901-2098

Call (631) 369-4418 Map

Fax (631) 369-4421

Mailing address

98 Woodlawn Ave
St. James, NY 11780-2506

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0719131 (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 1790836070

Gina Marie Fattibene, LCSW's National Provider Identifier is 1790836070, issued on Jan 15, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Riverhead, NY. The record was last updated on Aug 6, 2009.