Individual provider · Type 1 NPI
Mark Leslie Gaynor, LCSW
Clinical Social Worker · New Haven, CT
Practice location
100 Whitney Ave
New Haven, CT 06510
Fax (203) 865-0093
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 000930 (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 1275515009
Mark Leslie Gaynor, LCSW's National Provider Identifier is 1275515009, issued on Nov 17, 2005. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New Haven, CT. The record was last updated on Jun 27, 2018.