Individual provider · Type 1 NPI

Kira Lallas, LCSW

Clinical Social Worker · Ithaca, NY

NPI number 1881016392 Active

Practice location

110 N Cayuga St
Ithaca, NY 14850-4326

Mailing address

PO Box 983
Trumansburg, NY 14886-0983

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X081258 (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 1881016392

Kira Lallas, LCSW's National Provider Identifier is 1881016392, issued on Jan 17, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ithaca, NY. The record was last updated on Jan 17, 2014.