Individual provider · Type 1 NPI

Gina Rose Macolino Petrucci, L.C.S.W

Clinical Social Worker · Hamden, CT

NPI number 1427494574 Active

Practice location

830 Sherman Ave
Hamden, CT 06514-1147

Fax (203) 488-4325

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X8300 (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 1427494574

Gina Rose Macolino Petrucci, L.C.S.W's National Provider Identifier is 1427494574, issued on May 16, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Hamden, CT. The record was last updated on May 16, 2013.