Individual provider · Type 1 NPI

Justin S. Egan, LCSW

Clinical Social Worker · Waterbury, CT

NPI number 1376689331 Active

Practice location

55 West Main Street, Western Connecticut Mental Health Network Suite 410
Waterbury, CT 06702

Fax (203) 805-6432

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	006386 (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 1376689331

Justin S. Egan, LCSW's National Provider Identifier is 1376689331, issued on Jan 29, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Waterbury, CT. The record was last updated on Jul 8, 2007.