Individual provider · Type 1 NPI

Ellen Dodge, LCSW

Clinical Social Worker · Lyme, CT

NPI number 1346465200 Active

Practice location

186 Blood St
Lyme, CT 06371-3507

Other practice locations

  • 567 Vauxhall Street Ext, Waterford, CT 06385-4330 · (860) 460-0488

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X003078 (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 1346465200

Ellen Dodge, LCSW's National Provider Identifier is 1346465200, issued on Apr 16, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lyme, CT. The record was last updated on Jan 2, 2024.