Individual provider · Type 1 NPI

Mary Davis, LCSW, RD

Clinical Social Worker · Glastonbury, CT

NPI number 1457418568 Active

Practice location

34 Concord St
Glastonbury, CT 06033-2112

Fax (860) 899-1272

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X5062 (CT)
Registered Dietitian 133V00000X000683 (CT)
Clinical Social Worker Primary 1041C0700X005062 (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 1457418568

Mary Davis, LCSW, RD's National Provider Identifier is 1457418568, issued on Jan 2, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Glastonbury, CT. The record was last updated on Nov 1, 2023.