Individual provider · Type 1 NPI

Susan Renee Banco, LCSW

Clinical Social Worker · Jericho, NY

NPI number 1962035204 Active

Practice location

286 Carriage House Drive
Jericho, NY 11753

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XR020398-01 (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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About NPI 1962035204

Susan Renee Banco, LCSW's National Provider Identifier is 1962035204, issued on Feb 14, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jericho, NY. The record was last updated on Feb 14, 2020.