Individual provider · Type 1 NPI

Laura Fontaine

Clinical Social Worker · Bloomfield, CT

NPI number 1114397197 Active

Practice location

693 Bloomfield Ave
Bloomfield, CT 06002-2489

Fax (860) 243-6591

Mailing address

995 Day Hill Rd
Windsor, CT 06095-1722

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1114397197

Laura Fontaine's National Provider Identifier is 1114397197, issued on Oct 2, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bloomfield, CT. The record was last updated on Oct 2, 2015.