Individual provider · Type 1 NPI

Marylou Paccione, LCSW

Clinical Social Worker · Port Jefferson, NY

NPI number 1982970778 Active

Practice location

204 W Broadway
Port Jefferson, NY 11777-1316

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X080703 (NY)
Clinical Social Worker 1041C0700X050251 (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 1982970778

Marylou Paccione, LCSW's National Provider Identifier is 1982970778, issued on Mar 27, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Port Jefferson, NY. The record was last updated on Nov 15, 2023.