Individual provider · Type 1 NPI
Dejah Ford
Clinical Social Worker · Middletown, CT
Practice location
210 S Main St Ste 300A
Middletown, CT 06457-3764
Mailing address
12 Balaban Rd Apt 507
Colchester, CT 06415-1793
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 14204 (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 1417597576
Dejah Ford's National Provider Identifier is 1417597576, issued on Jan 7, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Middletown, CT. The record was last updated on Sep 3, 2025.