Individual provider · Type 1 NPI

Marie Ellen Goodine

Clinical Social Worker · Wethersfield, CT

NPI number 1023642998 Active

Practice location

1177 Silas Deane Hwy Ste 3
Wethersfield, CT 06109-4332

Call (860) 837-0401 Map

Mailing address

768 S Quaker Ln
West Hartford, CT 06110-1223

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X2733 (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 1023642998

Marie Ellen Goodine's National Provider Identifier is 1023642998, issued on Feb 28, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wethersfield, CT. The record was last updated on Feb 28, 2020.