Individual provider · Type 1 NPI

Ellen Margaret Miller Pond, LCSW

Clinical Social Worker · Fairfield, CT

NPI number 1538211495 Active

Practice location

148 Beach Road
Fairfield, CT 06824

Fax (203) 256-8532

Mailing address

45 Sampson Ave
Milford, CT 06460

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed
Clinical Social Worker 1041C0700X006737 (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 1538211495

Ellen Margaret Miller Pond, LCSW's National Provider Identifier is 1538211495, issued on Jan 18, 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 Jun 25, 2008.