Individual provider · Type 1 NPI

Maturin Frye Waldo, LCSW-R

Clinical Social Worker · New London, CT

NPI number 1629178348 Active

Practice location

21 Montauk Ave
New London, CT 06320-4906

Call (860) 271-4700 Map

Fax (860) 271-4797

Mailing address

PO Box 390
New London, CT 06320-0390

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X007236 (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 1629178348

Maturin Frye Waldo, LCSW-R's National Provider Identifier is 1629178348, issued on Sep 23, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New London, CT. The record was last updated on Feb 24, 2016.