Individual provider · Type 1 NPI

Jessica Baine

Clinical Social Worker · Willimantic, CT

NPI number 1164890232 Active

Practice location

54 North St
Willimantic, CT 06226-2528

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XNone listed
Clinical Social Worker 1041C0700X58.010487 (CT)
Clinical Social Worker Primary 1041C0700X10487 (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 1164890232

Jessica Baine's National Provider Identifier is 1164890232, issued on Sep 8, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Willimantic, CT. The record was last updated on Jul 5, 2022.