Individual provider · Type 1 NPI

Carly Rae Jacques, LCSW

Clinical Social Worker · New Milford, CT

NPI number 1467022830 Active

Practice location

325 Danbury Rd
New Milford, CT 06776-4344

Mailing address

75 West St
Danbury, CT 06810-6528

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XMSW.005035 (CT)
Clinical Social Worker Primary 1041C0700X012182 (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 1467022830

Carly Rae Jacques, LCSW's National Provider Identifier is 1467022830, issued on Jun 29, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New Milford, CT. The record was last updated on May 20, 2022.