Individual provider · Type 1 NPI

Shannon Quinn Kulak, LCSW

Clinical Social Worker · West Hartford, CT

NPI number 1154890796 Active

Practice location

801 Farmington Ave
West Hartford, CT 06119-1600

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X3884 (CT)
Clinical Social Worker Primary 1041C0700X010503 (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 1154890796

Shannon Quinn Kulak, LCSW's National Provider Identifier is 1154890796, issued on Nov 13, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in West Hartford, CT. The record was last updated on Sep 29, 2025.