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Mr. Derek S. Caruso, MSW,MSN,PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Lake Grove, New York
NPI 1871841577

Derek S. Caruso is a Psychiatric/Mental Health Nurse Practitioner based in Lake Grove, NY and is specialized in Psychiatric/Mental Health. Derek S. Caruso practices in Lake Grove, NY and has the professional credentials of MSW,MSN,PMHNP-BC. The NPI Number for Derek S. Caruso is 1871841577 and holds a License No. 086771 (New York).

The current practice location address for Derek S. Caruso is 16 Williams Blvd Apt 1D, Lake Grove, NY and can be reached out via phone at 631-747-8121.

Location: 16 Williams Blvd Apt 1D, Lake Grove, NY, 11755-2413
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871841577
Provider Name
Derek S. Caruso
Credential
MSW,MSN,PMHNP-BC
Provider Entity Type
Individual
Gender
Male
Address
16 Williams Blvd Apt 1D, Lake Grove, NY, 11755-2413
Phone Number
631-747-8121
Fax Number
Provider Enumeration Date
08/28/2012
Last Update Date
12/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1184445835 01 NY TYPE 2 NPI - ORGANIZATION
03482717 05 NY
13545756 01 NY CAQH ID #
institution
Provider Business Practice Location Address Details
Address
16 Williams Blvd Apt 1D
City
Lake Grove
State
New York
Zip
11755-2413
Phone Number
631-747-8121
Fax Number
person
Provider Business Mailing Address Details
Address
16 Williams Blvd Apt 1D
City
Lake Grove
State
New York
Zip
11755-2413
Phone Number
631-747-8121
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
-
Taxonomy
104100000X
License No.
F405069 (New York)
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
744382 (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.
person
Provider's Taxonomy Details 3
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
163WP0808X
License No.
084067 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
086771 (New York)
Definition
Definition to come...
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