Individual provider · Type 1 NPI

Elizabeth M. Wade, L.C.S.W.

Clinical Social Worker · Fayetteville, NY

NPI number 1992899736 Active

Practice location

7000 E Genesee St, Bldg D
Fayetteville, NY 13066-1131

Call (315) 637-1113 Map

Fax (315) 637-2201

Mailing address

211 Center St
Fayetteville, NY 13066-1443

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XR062948-1 (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 1992899736

Elizabeth M. Wade, L.C.S.W.'s National Provider Identifier is 1992899736, issued on Oct 3, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fayetteville, NY. The record was last updated on Oct 29, 2021.