Individual provider · Type 1 NPI

Mary-Beth Petersen-Cleary, LCSW-R

Clinical Social Worker · Kenmore, NY

NPI number 1912955865 Active

Practice location

3370 Delaware Ave
Kenmore, NY 14217-1425

Call (716) 877-8822 Map

Fax (716) 874-5245

Mailing address

741 Delaware Ave
Buffalo, NY 14209-2201

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	00056518 (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 1912955865

Mary-Beth Petersen-Cleary, LCSW-R's National Provider Identifier is 1912955865, issued on May 4, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Kenmore, NY. The record was last updated on Jun 5, 2014.