Individual provider · Type 1 NPI

Kristie Marie Urdahl, LCSW

Clinical Social Worker · Patchogue, NY

NPI number 1922725308 Active

Practice location

201 Sunrise Hwy W
Patchogue, NY 11772-1868

Call (631) 289-2200 Map

Fax (631) 286-6955

Mailing address

7 Marc St
Lake Ronkonkoma, NY 11779-4314

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X084014 (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 1922725308

Kristie Marie Urdahl, LCSW's National Provider Identifier is 1922725308, issued on Oct 26, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Patchogue, NY. The record was last updated on Oct 26, 2022.