Organization · Type 2 NPI

Lymes' Youth Service Bureau

Clinical Social Worker · Old Lyme, CT

NPI number 1336492404 Active

Practice location

59 Lyme St
Old Lyme, CT 06371-2359

Fax (860) 434-1580

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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…

Other clinical social worker providers in Old Lyme

See all in Old Lyme →

About NPI 1336492404

Lymes' Youth Service Bureau's National Provider Identifier is 1336492404, issued on Oct 26, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Old Lyme, CT. The record was last updated on Oct 26, 2012.