Individual provider · Type 1 NPI

Laurence Fernandez, LCSW

Clinical Social Worker · Bridgeport, CT

NPI number 1285102301 Active

Practice location

97 Middle St
Bridgeport, CT 06604-4410

Call (203) 579-7368 Map

Mailing address

89 Adla Dr
Hamden, CT 06514-1806

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X009632 (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 1285102301

Laurence Fernandez, LCSW's National Provider Identifier is 1285102301, issued on Nov 6, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bridgeport, CT. The record was last updated on Nov 6, 2018.