MS. KIMBERLY STANDFAST LCSW - NPI 1184809022 - Social Worker in Woodside, NY

Q: What is Kimberly Standfast's NPI number?

The NPI number for Kimberly Standfast is 1184809022. It was assigned to this individual provider in the NPPES registry on January 9, 2008.

Q: What is Kimberly Standfast's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

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About Ms. Kimberly Standfast Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KIMBERLY STANDFAST LCSW (NPI 1184809022) is an individual clinical provider in Woodside, New York, licensed in New York (089664) and active in the NPI registry since January 2008.

NPPES Registry Identity

NPI1184809022

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMS. KIMBERLY STANDFASTCredential: LCSW

Location Address6120 WOODSIDE AVEWoodside, NY 11377-3557

Mailing Address193 N Country RdSmithtown, NY 11787-2104 · (631) 805-7304

Phone(718) 779-1234

Fax(718) 779-7775

Sole ProprietorYes

Enumeration DateJanuary 9, 2008

Last NPPES UpdateFebruary 23, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 23, 2023

✔ NPI 1184809022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in NY · 089664

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, 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.

6120 WOODSIDE AVE, Woodside, NY 11377

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BERONICA JUCA

Social Worker