Individual provider · Type 1 NPI

Tyra Denine Gonzalez, LCSW

Clinical Social Worker · Garden City, NY

NPI number 1841474988 Active

Practice location

506 Stewart Ave, Epilepsy Foundation Of Li
Garden City, NY 11530-4706

Call (516) 739-7733 Map

Fax (516) 739-3224

Mailing address

99 California Ave
Bay Shore, NY 11706-4547

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XR056804-1 (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 1841474988

Tyra Denine Gonzalez, LCSW's National Provider Identifier is 1841474988, issued on Dec 26, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Garden City, NY. The record was last updated on Dec 26, 2007.