Individual provider · Type 1 NPI
Christina Lyn Vergara
Clinical Social Worker · Deer Park, NY
Practice location
163 W 22nd St
Deer Park, NY 11729-4809
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 103025 (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 1891622148
Christina Lyn Vergara's National Provider Identifier is 1891622148, issued on May 8, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Deer Park, NY. The record was last updated on May 8, 2026.