Individual provider · Type 1 NPI

Heidi Lee Lively, L.C.S.W.

Clinical Social Worker · Woodbridge, CT

NPI number 1174694202 Active

Practice location

15 Osborne Ln
Woodbridge, CT 06525-1728

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X009440 (CT)
Clinical Social Worker 1041C0700XME298967 (ME)

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 1174694202

Heidi Lee Lively, L.C.S.W.'s National Provider Identifier is 1174694202, issued on Nov 12, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Woodbridge, CT. The record was last updated on Oct 31, 2023.