Individual provider · Type 1 NPI
Katherine Bradway Mullis, LCSW
Clinical Social Worker · Manchester, CT
Practice location
71 Haynes St
Manchester, CT 06040-4131
Fax (860) 648-6831
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 009837 (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 1619493400
Katherine Bradway Mullis, LCSW's National Provider Identifier is 1619493400, issued on Aug 14, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Manchester, CT. The record was last updated on Aug 14, 2017.