Individual provider · Type 1 NPI

Kelly B. Tedesco

Clinical Social Worker · Lynbrook, NY

NPI number 1871062067 Active

Practice location

200 Atlantic Ave
Lynbrook, NY 11563-3505

Call (516) 647-2708 Map

Mailing address

164 Pebble Ln
Hewlett, NY 11557-1709

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X087451 (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 1871062067

Kelly B. Tedesco's National Provider Identifier is 1871062067, issued on Nov 16, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lynbrook, NY. The record was last updated on Nov 16, 2018.