Organization · Type 2 NPI

Abundant Life Center

Clinical Social Worker · Hartford, CT

NPI number 1174759963 Active

Practice location

2550 Main St
Hartford, CT 06120-1936

Call (860) 548-9399 Map

Mailing address

PO Box 714
Hartford, CT 06142-0714

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X104100000X (CT)
Case Management Agency 251B00000X001806 (CT)
Community/Behavioral Health Agency 251S00000X001806 (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 1174759963

Abundant Life Center's National Provider Identifier is 1174759963, issued on Jun 8, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Hartford, CT. The record was last updated on Apr 16, 2013.