Individual provider · Type 1 NPI

Ada Ely Tavarez-Perez, LMSW

Clinical Social Worker · Bridgeport, CT

NPI number 1487334082 Active

Practice location

180 Fairfield Ave
Bridgeport, CT 06604-4252

Call (203) 394-6529 Map

Mailing address

4 Juniper Rdg
Trumbull, CT 06611-5305

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6333 (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 1487334082

Ada Ely Tavarez-Perez, LMSW's National Provider Identifier is 1487334082, issued on Jul 19, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bridgeport, CT. The record was last updated on Jul 19, 2023.