Organization · Type 2 NPI

Impact LCSW Counseling Services, PC

Clinical Social Worker · Lake Grove, NY

NPI number 1972522902 Active

Practice location

2760 Middle Country Rd, Suite 1
Lake Grove, NY 11755-2113

Fax (631) 467-3185

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XR043837-1 (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 1972522902

Impact LCSW Counseling Services, PC's National Provider Identifier is 1972522902, issued on Jul 19, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lake Grove, NY. The record was last updated on Aug 22, 2020.