Individual provider · Type 1 NPI

Carolyn Grace Peabody, PhD, L.C.S.W.

Clinical Social Worker · Southold, NY

NPI number 1902061997 Active

Practice location

53840 Main Rd
Southold, NY 11971-4625

Call (631) 323-1333 Map

Fax (631) 323-3824

Mailing address

970 Greenway E
Orient, NY 11957-1314

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XR038969-1 (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 1902061997

Carolyn Grace Peabody, PhD, L.C.S.W.'s National Provider Identifier is 1902061997, issued on Jul 19, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Southold, NY. The record was last updated on Jul 19, 2008.