Individual provider · Type 1 NPI

Mariann Gaynes, MSW LCSW

Clinical Social Worker · Bridgeport, CT

NPI number 1306977251 Active

Practice location

361 Bird St
Bridgeport, CT 06605

Call (203) 330-6000 Map

Fax (203) 576-8444

Mailing address

415 Brooklawn Ave
Fairfield, CT 06825

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0003101 (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 1306977251

Mariann Gaynes, MSW LCSW's National Provider Identifier is 1306977251, issued on Mar 9, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bridgeport, CT. The record was last updated on Jul 17, 2007.