Individual provider · Type 1 NPI
Diana M. Stout
Clinical Social Worker · West Haven, CT
Practice location
165 Richards St Apt 212
West Haven, CT 06516-9103
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 016265 (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 1508788480
Diana M. Stout's National Provider Identifier is 1508788480, issued on Jul 29, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in West Haven, CT. The record was last updated on Jul 29, 2026.