Individual provider · Type 1 NPI

Marcy Marie Fanello Diaz, LCSW

Clinical Social Worker · Middletown, CT

NPI number 1346305596 Active

Practice location

124 Court St Lowr Level
Middletown, CT 06457-3333

Other practice locations

  • 500 Vine St, Capitol Region Mental Health Center, Hartford, CT 06112-1639 · (860) 297-0905

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X5673 (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…

2 other providers at this address

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About NPI 1346305596

Marcy Marie Fanello Diaz, LCSW's National Provider Identifier is 1346305596, issued on Dec 27, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Middletown, CT. The record was last updated on Jan 28, 2021.