Individual provider · Type 1 NPI

Nicolle Ilizarov

Clinical Social Worker · Brooklyn, NY

NPI number 1801746565 Active

Practice location

541 Bay Ridge Pkwy Ste Ll
Brooklyn, NY 11209-3309

Call (929) 200-3049 Map

Mailing address

2820 Ocean Pkwy Apt 10G
Brooklyn, NY 11235-7936

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X126964 (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 1801746565

Nicolle Ilizarov's National Provider Identifier is 1801746565, issued on Feb 2, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Brooklyn, NY. The record was last updated on Feb 2, 2026.