PATRICIA MARIN, LCSW - NPI NUMBER 1376616391

Summary

Provider Name: PATRICIA MARIN, LCSW

NPI Number: 1376616391

Clasification: Social Worker (1041C0700X)

Specialization: Clinical

Address:
800 POLY PLACE
RM 14W-316
BROOKLYN, NY
ZIP 11209

Phone Number: (178) 836-6600



Detailed Information

Patricia Marin, LCSW is a clinical social worker in Brooklyn, NY. The provider is 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. The assigned NPI number for this provider is 1376616391 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business address is:

800 POLY PLACE
RM 14W-316
BROOKLYN, NY
ZIP 11209-104
Phone: (178) 836-6600

The enumeration date for this NPI number is 11/16/2006 and was last updated on 5/4/2009.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 1041C0700X Social Worker Clinical 072054 NY Yes

NPI Record

No. Field Name Field Value
1 NPI 1376616391
2 Entity Type Code 1
3 Provider Last Name Legal Name MARIN
4 Provider First Name PATRICIA
5 Provider Credential Text LCSW
6 Provider First Line Business Practice Location Address 800 POLY PLACE
7 Provider Second Line Business Practice Location Address RM 14W-316
8 Provider Business Practice Location Address City Name BROOKLYN
9 Provider Business Practice Location Address State Name NY
10 Provider Business Practice Location Address Postal Code 112097104
11 Provider Business Practice Location Address Country Code If outside U S US
12 Provider Business Practice Location Address Telephone Number 1788366600
13 Provider Enumeration Date 11/16/2006
14 Last Update Date 5/4/2009
15 Provider Gender Code F
16 Healthcare Provider Taxonomy Code 1 1041C0700X
17 Provider License Number 1 072054
18 Provider License Number State Code 1 NY
19 Healthcare Provider Primary Taxonomy Switch 1 Y
20 Is Sole Proprietor N

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This page was last updated on: 7/15/2014
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