Individual provider · Type 1 NPI
Tracy Southworth, LCSW
Clinical Social Worker · Milford Ct, CT
Practice location
4 Oxford Road, Suite B-6
Milford Ct, CT 06460
Mailing address
32 Peppermill Drive
West Haven, CT 06516
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 10815 (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…
About NPI 1326678616
Tracy Southworth, LCSW's National Provider Identifier is 1326678616, issued on Jan 25, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Milford Ct, CT. The record was last updated on Jan 25, 2020.