Individual provider · Type 1 NPI
Diane M. Carlson, LCSW
Clinical Social Worker · Southbury, CT
Practice location
1449 Old Waterbury Rd., Suite 204
Southbury, CT 06488
Mailing address
44 Highland Ave
Bethel, CT 06801-2239
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | None listed |
| Clinical Social Worker Primary | 1041C0700X | 006495 (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 1417186958
Diane M. Carlson, LCSW's National Provider Identifier is 1417186958, issued on Jul 6, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Southbury, CT. The record was last updated on Jun 10, 2022.