Individual provider · Type 1 NPI
Kristen Formanek, LCSW
Clinical Social Worker · East Granby, CT
Practice location
17 Chelsea Ln
East Granby, CT 06026-9635
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 010816 (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 1114567153
Kristen Formanek, LCSW's National Provider Identifier is 1114567153, issued on Jan 7, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in East Granby, CT. The record was last updated on Jan 7, 2020.