Individual provider · Type 1 NPI

Mariaelena Modica, LCSW

Clinical Social Worker · Staten Island, NY

NPI number 1801170956 Active

Practice location

2381 Hylan Blvd
Staten Island, NY 10306-3122

Call (800) 277-4680 Map

Mailing address

30 Upton St
Staten Island, NY 10304-3108

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X080977-01 (NY)
Clinical Social Worker Primary 1041C0700X080977-01 (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 1801170956

Mariaelena Modica, LCSW's National Provider Identifier is 1801170956, issued on Oct 7, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Staten Island, NY. The record was last updated on Nov 2, 2022.