Individual provider · Type 1 NPI

Luis Gabriel Illades, CASAC, LMSW

Clinical Social Worker · Brooklyn, NY

NPI number 1982348058 Active

Practice location

190 N 10th St Ste 203
Brooklyn, NY 11211-9317

Mailing address

827 N Franklin St
Wilmington, DE 19806-4626

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X132867001 (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 1982348058

Luis Gabriel Illades, CASAC, LMSW's National Provider Identifier is 1982348058, issued on Apr 25, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Brooklyn, NY. The record was last updated on Apr 25, 2022.