New York Licensed Clinical Social Work, PC
NPI #1669138699 in Islip, New York
Provider Information
- NPI Number
- 1669138699
- Entity Type
- Organization
- Organization Name
- New York Licensed Clinical Social Work, PC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Nov 15, 2021
- Last Updated
- Dec 27, 2021
Practice Location
Authorized Official
- Name
- KIMBERLY MANN
- Title
- CREDENTIALING MANAGER
- Phone
- (901) 422-7608
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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