Individual provider · Type 1 NPI

Jennifer Soohoo-Tibaldi

Clinical Social Worker · New York, NY

NPI number 1972989101 Active

Practice location

462 1st Ave Rm 21S38
New York, NY 10016-9196

Fax (212) 263-0202

Mailing address

63 Jenkins St
Merrick, NY 11566-1758

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X069373 (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 1972989101

Jennifer Soohoo-Tibaldi's National Provider Identifier is 1972989101, issued on Aug 11, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New York, NY. The record was last updated on Aug 11, 2015.