Organization · Type 2 NPI
Phoenix Rising Wellness LLC
Clinical Social Worker · Newtown, CT
Practice location
153 S Main St
Newtown, CT 06470-2791
Mailing address
22 Yale Ave
Middlebury, CT 06762-2712
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | None 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 1114772456
Phoenix Rising Wellness LLC's National Provider Identifier is 1114772456, issued on Apr 19, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Newtown, CT. The record was last updated on Aug 29, 2026.