Individual provider · Type 1 NPI

Ivelise Alicea

Clinical Social Worker · Bridgeport, CT

NPI number 1225469059 Active

Practice location

46 Albion St
Bridgeport, CT 06605-2602

Call (203) 330-6000 Map

Fax (203) 339-7193

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X010440 (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 1225469059

Ivelise Alicea's National Provider Identifier is 1225469059, issued on Dec 4, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bridgeport, CT. The record was last updated on Dec 30, 2019.