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33D1014761 CLIA NUMBER - WILLIAM F RYAN COMMUNITY HEALTH CENTER ANNEX WOMEN AND CHILDREN'S CENTER

Laboratory Demographics

CLIA Number: 33D1014761

Facility Name: WILLIAM F RYAN COMMUNITY HEALTH CENTER ANNEX WOMEN AND CHILDREN'S CENTER

Facility Address:
801 AMSTERDAM AVE
NEW YORK, NY
ZIP 10025
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Facility Phone Number: 212 769-7200

Facility Type: Community Clinic

Certificate Type: Waiver
NPI Number: 1992194666

Taxonomy: 1041C0700X - 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 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.

CLIA Record

Field Name Field Value
CLIA Number 33D1014761
LAB Type Community Clinic
Facility Name WILLIAM F RYAN COMMUNITY HEALTH CENTER ANNEX WOMEN AND CHILDREN'S CENTER
Street 801 AMSTERDAM AVE
City NEW YORK
State NY
ZIP 10025
Phone 212 769-7200
CertificateType 4
CertificateEffectiveDate 8/11/2014
CertificateExpirationDate 3/26/2027
FacilityType Waiver

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This page was last updated on: 4/23/2024