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Richard M Jack, LCSW-R
Clinical Social Worker in Ticonderoga, New York
NPI 1801803218

Richard M Jack is a Clinical Social Worker based in Queensbury, NY and is specialized in Clinical. Richard M Jack practices in Ticonderoga, NY and has the professional credentials of LCSW-R. The NPI Number for Richard M Jack is 1801803218 and holds a License No. 060855 (New York).

The current practice location address for Richard M Jack is 102 Race Track Rd, Ticonderoga, NY and can be reached out via phone at 518-585-6708 and via fax at 518-585-3260.

Location: 102 Race Track Rd, Ticonderoga, NY, 12804-7880
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801803218
Provider Name
Richard M Jack
Credential
LCSW-R
Provider Entity Type
Individual
Gender
Male
Address
102 Race Track Rd, Ticonderoga, NY, 12804-7880
Phone Number
518-585-6708
Fax Number
518-585-3260
Provider Enumeration Date
08/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03201392 05 NY
institution
Provider Business Practice Location Address Details
Address
102 Race Track Rd
City
Ticonderoga
State
New York
Zip
12883-4004
Phone Number
518-585-6708
Fax Number
518-585-3260
person
Provider Business Mailing Address Details
Address
102 Race Track Rd
City
Ticonderoga
State
New York
Zip
12883-4004
Phone Number
518-585-6708
Fax Number
518-585-3260
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
060855 (New York)
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.
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