Individual provider · Type 1 NPI

Kristen Stack, LCSW

Clinical Social Worker · Middletown, CT

NPI number 1225678915 Active

Practice location

675 Main St
Middletown, CT 06457-2732

Mailing address

685 Farmington Ave
Berlin, CT 06037-1350

Other practice locations

  • 370 Linwood St, New Britain, CT 06052-1949 · (860) 224-9113

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X5051 (CT)
Clinical Social Worker Primary 1041C0700X13133 (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 1225678915

Kristen Stack, LCSW's National Provider Identifier is 1225678915, issued on Jan 9, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Middletown, CT. The record was last updated on Sep 18, 2023.