Individual provider · Type 1 NPI

Tara Elizabeth Buentello, LCSW

Clinical Social Worker · Ridgewood, NY

NPI number 1841812880 Active

Practice location

1025 Seneca Ave
Ridgewood, NY 11385-5800

Call (646) 980-0539 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X085006 (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 1841812880

Tara Elizabeth Buentello, LCSW's National Provider Identifier is 1841812880, issued on May 13, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ridgewood, NY. The record was last updated on Aug 27, 2021.