Individual provider · Type 1 NPI

Jennifer Perrotta, LCSW

Clinical Social Worker · Bay Shore, NY

NPI number 1871906925 Active

Practice location

1444 5th Ave
Bay Shore, NY 11706-4147

Call (631) 647-3100 Map

Fax (631) 647-2058

Mailing address

24 Foothill Ln
East Northport, NY 11731-4109

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X081193 (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 1871906925

Jennifer Perrotta, LCSW's National Provider Identifier is 1871906925, issued on Jun 6, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bay Shore, NY. The record was last updated on Jun 6, 2014.