Individual provider · Type 1 NPI

Gail Mary Bourdon, LCSW, PhD

Clinical Social Worker · Hartford, CT

NPI number 1346358181 Active

Practice location

200 Retreat Avenue, Hartford Hospital Psychiatry Department
Hartford, CT 06106-3310

Mailing address

PO Box 40,000 Dept 634, Hartford Hospital Professional Services
Hartford, CT 06151-0634

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X003561 (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 1346358181

Gail Mary Bourdon, LCSW, PhD's National Provider Identifier is 1346358181, issued on Aug 29, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Hartford, CT. The record was last updated on Oct 29, 2009.