is a Clinical in Northport, New York. practices all healthcare services and medical treatments related to Clinical. The NPI Number for is 1619089893. The last update date is .
's current location address is 46 Bayview Ave, Northport, New York. You can contact this provider via phone number 5166355736 and fax number 5165944053. The mailing address for is 46 Bayview Ave, Northport, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 46 Bayview Ave, Northport, New York |
| Phone Number | 5166355736 |
| Fax Number | 5165944053 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1619089893 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 46 Bayview Ave |
|---|---|
| City | Northport |
| State | New York (NY) |
| Post Code | 117681505 |
| Phone Number | 5166355736 |
| Fax Number | 5165944053 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 56034 |
|
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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