Individual provider · Type 1 NPI

Mark Staum

Clinical Social Worker · Monsey, NY

NPI number 1942590617 Active

Practice location

441 Route 306, 2nd Floor-Suite 3
Monsey, NY 10952-1233

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X73 078451 (NY)
Clinical Social Worker 1041C0700X72 065504 (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 1942590617

Mark Staum's National Provider Identifier is 1942590617, issued on Apr 14, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Monsey, NY. The record was last updated on Aug 24, 2011.