Individual provider · Type 1 NPI

Kimberly Diaz-Rosso, LCSW

Clinical Social Worker · Port Washington, NY

NPI number 1992427306 Active

Practice location

33 Fairview Ave
Port Washington, NY 11050-4015

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X101869 (NY)
Social Worker 104100000X087292 (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 1992427306

Kimberly Diaz-Rosso, LCSW's National Provider Identifier is 1992427306, issued on Sep 13, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Port Washington, NY. The record was last updated on Feb 2, 2026.