Individual provider · Type 1 NPI
Charrisse Nicole Gudger
Clinical Social Worker · Stamford, CT
Practice location
16 Leroy Pl
Stamford, CT 06902-3116
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 11693 (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 1609793777
Charrisse Nicole Gudger's National Provider Identifier is 1609793777, issued on Jun 30, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Stamford, CT. The record was last updated on Jun 30, 2026.