Individual provider · Type 1 NPI

Christy Modine, LCSW

Clinical Social Worker · Madison, CT

NPI number 1134490709 Active

Practice location

10 School St
Madison, CT 06443-3033

Mailing address

70 Ley St
New Haven, CT 06512-3920

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X007329 (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 1134490709

Christy Modine, LCSW's National Provider Identifier is 1134490709, issued on Jan 13, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Madison, CT. The record was last updated on Jan 13, 2012.