Individual provider · Type 1 NPI

Dawn Marie Wigutow

Clinical Social Worker · Lake Ronkonkoma, NY

NPI number 1871713065 Active

Practice location

27 Uhl St
Lake Ronkonkoma, NY 11779-2740

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X076904-1 (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 1871713065

Dawn Marie Wigutow's National Provider Identifier is 1871713065, issued on Apr 27, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lake Ronkonkoma, NY. The record was last updated on Feb 21, 2024.