Individual provider · Type 1 NPI

Irina Ivanova

Clinical Social Worker · Fair Lawn, NJ

NPI number 1902623903 Active

Practice location

13-20 River Rd # R
Fair Lawn, NJ 07410-1847

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X44SL07127800 (NJ)

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 1902623903

Irina Ivanova's National Provider Identifier is 1902623903, issued on Sep 23, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fair Lawn, NJ. The record was last updated on Sep 23, 2024.