Individual provider · Type 1 NPI

Tracy Blasioli, L.C.S.W.

Clinical Social Worker · Waterford, CT

NPI number 1063961571 Active

Practice location

125 Boston Post Rd
Waterford, CT 06385-2841

Mailing address

25 Mayfield Ter
East Lyme, CT 06333-1327

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X009551 (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 1063961571

Tracy Blasioli, L.C.S.W.'s National Provider Identifier is 1063961571, issued on Sep 26, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Waterford, CT. The record was last updated on Sep 26, 2016.