Organization · Type 2 NPI
Coast To Coast LCSW PLLC
Clinical Social Worker · Ithaca, NY
Practice location
208 N Meadow St Unit 2
Ithaca, NY 14850-4027
Mailing address
PO Box 4804
Ithaca, NY 14852-4804
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | None 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 1861120628
Coast To Coast LCSW PLLC's National Provider Identifier is 1861120628, issued on Aug 10, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ithaca, NY. The record was last updated on Aug 10, 2022.