Individual provider · Type 1 NPI

Michelle Lynn Krebo

Clinical Social Worker · Port Jefferson, NY

NPI number 1801492905 Active

Practice location

710 Main St
Port Jefferson, NY 11777-2278

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X101128-1 (NY)
Clinical Social Worker Primary 1041C0700X093377-01 (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 1801492905

Michelle Lynn Krebo's National Provider Identifier is 1801492905, issued on Dec 5, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Port Jefferson, NY. The record was last updated on Mar 5, 2026.