Individual provider · Type 1 NPI

Ella Tiesinga

Clinical Social Worker · Westbrook, CT

NPI number 1043194913 Active

Practice location

4 Grove Beach Rd N Ste 2D
Westbrook, CT 06498-1656

Mailing address

PO Box 120
New London, CT 06320-0120

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1043194913

Ella Tiesinga's National Provider Identifier is 1043194913, issued on Aug 4, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Westbrook, CT. The record was last updated on Aug 4, 2025.