Organization · Type 2 NPI

Weave Your Life LLC

Clinical Social Worker · Southington, CT

NPI number 1104149293 Active

Practice location

963 Queen St, Suite C
Southington, CT 06489-1282

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X006194 (CT)
Community/Behavioral Health Agency 251S00000X006194 (CT)
Community/Behavioral Health Agency 251S00000X000729 (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 1104149293

Weave Your Life LLC's National Provider Identifier is 1104149293, issued on Mar 4, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Southington, CT. The record was last updated on Aug 13, 2012.