Individual provider · Type 1 NPI
Donna Tyese Bacon, ED.D, LCSW, MSW, CT
Clinical Social Worker · Amityville, NY
Practice location
15 Harrison Ave, #1A
Amityville, NY 11701-2426
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 070446 (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 1821368077
Donna Tyese Bacon, ED.D, LCSW, MSW, CT's National Provider Identifier is 1821368077, issued on Jan 5, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Amityville, NY. The record was last updated on Jan 5, 2012.