Organization · Type 2 NPI

Cloudberry Counseling LCSW PLLC

Clinical Social Worker · Ithaca, NY

NPI number 1932017928 Active

Practice location

109 S Albany St
Ithaca, NY 14850-5434

Fax (607) 367-2405

Mailing address

106 Elmwood Ave
Ithaca, NY 14850-4847

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1932017928

Cloudberry Counseling LCSW PLLC's National Provider Identifier is 1932017928, issued on Aug 31, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ithaca, NY. The record was last updated on Sep 24, 2026.