Organization · Type 2 NPI

Concussed. PLLC

Clinical Social Worker · Waterford, CT

NPI number 1235087065 Active

Practice location

14 Stoney Brook Dr
Waterford, CT 06385-1518

Call (860) 322-6302 Map

Fax (860) 854-2204

Mailing address

1000 Boston Post Rd # 1041
Old Saybrook, CT 06475-2142

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone 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 1235087065

Concussed. PLLC's National Provider Identifier is 1235087065, issued on Mar 18, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Waterford, CT. The record was last updated on Jul 7, 2026.