Individual provider · Type 1 NPI

Julie Broderick Green, LCSW MFT MA

Clinical Social Worker · Bridgeport, CT

NPI number 1386702637 Active

Practice location

1635 Central Avenue, Southwest Connecticut Mental Health System
Bridgeport, CT 06610

Call (203) 551-7660 Map

Fax (203) 551-7481

Mailing address

1635 Central Avenue Room 214, Southwest Ct Mental Health System
Bridgeport, CT 06610

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X004824 (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 1386702637

Julie Broderick Green, LCSW MFT MA's National Provider Identifier is 1386702637, issued on Dec 5, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bridgeport, CT. The record was last updated on Jul 8, 2007.