Individual provider · Type 1 NPI

Stephen Paul Dutille, LMSW

Clinical Social Worker · Elmhurst, NY

NPI number 1861513657 Active

Practice location

80th St & 41st Ave
Elmhurst, NY 11373

Fax (718) 334-5958

Mailing address

7901 Broadway, Managed Care D1-01
Elmhurst, NY 11373-1329

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X034055 (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 1861513657

Stephen Paul Dutille, LMSW's National Provider Identifier is 1861513657, issued on Apr 2, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Elmhurst, NY. The record was last updated on Jul 8, 2007.