Individual provider · Type 1 NPI
Gwendolyn Wayne, LCSW, CMTPT, LMT
Clinical Social Worker · Branford, CT
Practice location
17 Old Hickory Ln
Branford, CT 06405-2827
Mailing address
PO Box 515
Branford, CT 06405-0515
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rehabilitation Practitioner | 225400000X | 000394 (CT) |
| Clinical Social Worker Primary | 1041C0700X | 8668 (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 1558796201
Gwendolyn Wayne, LCSW, CMTPT, LMT's National Provider Identifier is 1558796201, issued on Sep 12, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Branford, CT. The record was last updated on Mar 9, 2015.