Individual provider · Type 1 NPI

Brenda L. Willis, LCSW

Clinical Social Worker · Brooklyn, NY

NPI number 1790989978 Active

Practice location

1332 Surf Avenue
Brooklyn, NY 11224

Call (718) 449-4000 Map

Fax (718) 449-5146

Mailing address

1841 25th Rd
Astoria, NY 11102-3427

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X2005015072 (MO)
Clinical Social Worker Primary 1041C0700X077648 (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 1790989978

Brenda L. Willis, LCSW's National Provider Identifier is 1790989978, issued on Jun 12, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Brooklyn, NY. The record was last updated on Sep 30, 2010.