Individual provider · Type 1 NPI
Nicole M. Hannibal
Clinical Social Worker · Bridgeport, CT
Practice location
40 Salem St
Bridgeport, CT 06606-5017
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | None listed |
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 1194035964
Nicole M. Hannibal's National Provider Identifier is 1194035964, issued on Oct 14, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bridgeport, CT. The record was last updated on Oct 14, 2010.