Individual provider · Type 1 NPI
Richard M. Jack, LCSW-R
Clinical Social Worker · Ticonderoga, NY
Practice location
102 Race Track Rd
Ticonderoga, NY 12883-4004
Fax (518) 585-3260
Mailing address
9 Carey Rd
Queensbury, NY 12804-7880
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 060855 (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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- Kathleen P. Huestis, MDFamily Medicine Physician Ticonderoga, NY NPI 1255595641
- Patricia M. McLoughlin, NPPPsychiatric/Mental Health Nurse Practitioner Ticonderoga, NY NPI 1437383957
- William R. Unwin, LCSWClinical Social Worker Ticonderoga, NY NPI 1780839829
Other clinical social worker providers in Ticonderoga
About NPI 1801803218
Richard M. Jack, LCSW-R's National Provider Identifier is 1801803218, issued on Aug 1, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ticonderoga, NY. The record was last updated on Feb 7, 2017.