is a Clinical in Larchmont, New York. practices all healthcare services and medical treatments related to Clinical. The NPI Number for is 1891845053. The last update date is .
's current location address is 265 Rockingstone Ave, Larchmont, New York. You can contact this provider via phone number 9148345107. The mailing address for is 265 Rockingstone Ave, Larchmont, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 265 Rockingstone Ave, Larchmont, New York |
| Phone Number | 9148345107 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1891845053 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 265 Rockingstone Ave |
|---|---|
| City | Larchmont |
| State | New York (NY) |
| Post Code | 105381219 |
| Phone Number | 9148345107 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | R030702-1 |
|
Definition: 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, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7404828 | NY | GHI NUMBER | |
| 1059910 | NY | BEACON NUMBER | |
| N36550 | NY | BLUE CROSS BLUE SHEILD | |
| 197012 | NY | MHN | |
| 126057 | NY | VALUE BEHAVIORAL HEALTH |
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