Individual provider · Type 1 NPI

Tracy Clough, LCSW

Clinical Social Worker · Shelton, CT

NPI number 1083122550 Active

Practice location

515 Bridgeport Ave
Shelton, CT 06484-5366

Mailing address

298 Park Ln
Trumbull, CT 06611-2254

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X10006 (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 1083122550

Tracy Clough, LCSW's National Provider Identifier is 1083122550, issued on Jan 17, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Shelton, CT. The record was last updated on Jan 17, 2018.