Individual provider · Type 1 NPI

Olasupo Fagbenle, LMSW

Clinical Social Worker · St. Albans, NY

NPI number 1982770079 Active

Practice location

18636 Jordan Ave
St. Albans, NY 11412-2308

Fax (718) 264-7797

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XP48013 (NY)
Clinical Social Worker Primary 1041C0700X8744914 (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 1982770079

Olasupo Fagbenle, LMSW's National Provider Identifier is 1982770079, issued on Nov 28, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Albans, NY. The record was last updated on Jan 5, 2015.