Individual provider · Type 1 NPI

Jolisa V. Beavers

Clinical Social Worker · Bronx, NY

NPI number 1811675978 Active

Practice location

579 Courtlandt Ave
Bronx, NY 10451-5013

Call (718) 485-2100 Map

Mailing address

720 Lenox Ave Apt 17A
New York, NY 10039-4422

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1811675978

Jolisa V. Beavers's National Provider Identifier is 1811675978, issued on Jul 10, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bronx, NY. The record was last updated on Jul 10, 2023.