Individual provider · Type 1 NPI

Danielle Smith Licitra, LCSW-R

Clinical Social Worker · Wampsville, NY

NPI number 1992732952 Active

Practice location

138 North Court St
Wampsville, NY 13163-0608

Call (315) 366-2327 Map

Fax (315) 366-2599

Mailing address

305 Smith St
Manlius, NY 13104-1825

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XR040293-1 (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 1992732952

Danielle Smith Licitra, LCSW-R's National Provider Identifier is 1992732952, issued on Jun 27, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wampsville, NY. The record was last updated on Jul 8, 2007.