Individual provider · Type 1 NPI
Shelley Beth Kingsbury, LCSW
Clinical Social Worker · Mystic, CT
Practice location
1101 Noank Ledyard Rd # 12
Mystic, CT 06355-1361
Mailing address
22A Autumn View Dr
Lisbon, CT 06351-2901
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 010666 (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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- Shaina Dawn Wilkinson, MSW, LMSW, LCSWClinical Social Worker Mystic, CT NPI 1316340334
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About NPI 1104462654
Shelley Beth Kingsbury, LCSW's National Provider Identifier is 1104462654, issued on Nov 20, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mystic, CT. The record was last updated on Aug 26, 2021.