Individual provider · Type 1 NPI

Jessica Pena Pardo, LCSW

Clinical Social Worker · New Haven, CT

NPI number 1013436013 Active

Practice location

400 Columbus Avenue, Adult Psychiatric Clinic
New Haven, CT 06519-1233

Fax (203) 503-3296

Mailing address

PO Box 7720, Credentialing Specialist
New Haven, CT 06519-0720

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X10497 (CT)

Clinical 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 interpers…

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About NPI 1013436013

Jessica Pena Pardo, LCSW's National Provider Identifier is 1013436013, issued on Sep 12, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New Haven, CT. The record was last updated on Feb 1, 2019.