Individual provider · Type 1 NPI

Peter Daniel Tolk, PhD

Clinical Social Worker · Fairfield, CT

NPI number 1497960157 Active

Practice location

1088 Black Rock Tpke
Fairfield, CT 06825-4107

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	4033 (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 1497960157

Peter Daniel Tolk, PhD's National Provider Identifier is 1497960157, issued on May 14, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fairfield, CT. The record was last updated on Jul 8, 2007.