Individual provider · Type 1 NPI

Michael Sussal, LCSW

Clinical Social Worker · Farmington, CT

NPI number 1336328491 Active

Practice location

270 Farmington Ave, Suite 309
Farmington, CT 06032-1909

Call (860) 677-5570 Map

Fax (860) 677-9570

Mailing address

380 Hitchcock Rd, #162
Waterbury, CT 06705-3965

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X006122 (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 1336328491

Michael Sussal, LCSW's National Provider Identifier is 1336328491, issued on Oct 25, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Farmington, CT. The record was last updated on Oct 25, 2007.