Individual provider · Type 1 NPI

Portia Pendleton, LMSW

Clinical Social Worker · Essex, CT

NPI number 1104374230 Active

Practice location

190 Westbrook Rd
Essex, CT 06426-1518

Call (860) 767-0147 Map

Fax (860) 767-0148

Mailing address

255 Hempstead St
New London, CT 06320-6204

Other practice locations

  • 255 Hempstead St, New London, CT 06320-6204 · (860) 443-2896

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Clinical Social Worker Primary 1041C0700XLMSW4442 (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 1104374230

Portia Pendleton, LMSW's National Provider Identifier is 1104374230, issued on Sep 19, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Essex, CT. The record was last updated on Nov 1, 2018.