Individual provider · Type 1 NPI
Mariah Carroll Hallbilsback, MA
Clinical Social Worker · Sunnyside, NY
Practice location
4130 46th St 4B
Sunnyside, NY 11104-7063
Other practice locations
- 6729 Myrtle Ave, Glendale, NY 11385-7063 · (508) 561-4247
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 095251-01 (NY) |
| Counselor | 101Y00000X | None listed |
| Social Worker | 104100000X | 107600-01 (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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- Aveda Jane Johnson, LCSWClinical Social Worker Sunnyside, NY NPI 1245911072
- Dora Glenn Bowman, LCSWClinical Social Worker Sunnyside, NY NPI 1245998905
- Thomas J. Lorio, LCSWClinical Social Worker Sunnyside, NY NPI 1326306572
- Rebecca Kucker, MSWClinical Social Worker Sunnyside, NY NPI 1356008643
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- Valerie Stephanie Ziel, LCSWClinical Social Worker Sunnyside, NY NPI 1366757494
About NPI 1912489204
Mariah Carroll Hallbilsback, MA's National Provider Identifier is 1912489204, issued on Sep 3, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Sunnyside, NY. The record was last updated on Sep 28, 2023.