Individual provider · Type 1 NPI

Stephanie Tullock, LCSW

Clinical Social Worker · Stafford Springs, CT

NPI number 1093324295 Active

Practice location

201 Chestnut Hill Rd
Stafford Springs, CT 06076-4005

Call (860) 684-8290 Map

Fax (860) 684-8179

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X010028 (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 1093324295

Stephanie Tullock, LCSW's National Provider Identifier is 1093324295, issued on Jul 24, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Stafford Springs, CT. The record was last updated on Jul 24, 2020.