Organization · Type 2 NPI

Holistic Mental Wellness Therapy

Clinical Social Worker · Gales Ferry, CT

NPI number 1265312557 Active

Practice location

1663 Route 12
Gales Ferry, CT 06335-1500

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed
Professional Counselor 101YP2500XNone listed
Clinical Social Worker Primary 1041C0700XNone listed
Marriage & Family Therapist 106H00000XNone 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 1265312557

Holistic Mental Wellness Therapy's National Provider Identifier is 1265312557, issued on Sep 5, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Gales Ferry, CT. The record was last updated on Oct 14, 2025.