Individual provider · Type 1 NPI
Marylliam Gagne, LCSW
Clinical Social Worker · Enfield, CT
Practice location
153 Hazard Ave Fl 1
Enfield, CT 06082-5444
Mailing address
995 Day Hill Rd
Windsor, CT 06095-1722
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 008472 (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 1427430503
Marylliam Gagne, LCSW's National Provider Identifier is 1427430503, issued on Jun 24, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Enfield, CT. The record was last updated on Aug 17, 2015.