Individual provider · Type 1 NPI

Sheila Purushotham

Clinical Social Worker · Hamden, CT

NPI number 1083171508 Active

Practice location

1400 Whitney Ave
Hamden, CT 06517-2459

Fax (203) 287-9815

Mailing address

96 Bristol Street Ext
Branford, CT 06405-4843

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X10484 (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 1083171508

Sheila Purushotham's National Provider Identifier is 1083171508, issued on Feb 21, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Hamden, CT. The record was last updated on Feb 21, 2019.