Individual provider · Type 1 NPI

Rose I. Vazquez-Santiago, LCSW, ACSW

Clinical Social Worker · Wallingford, CT

NPI number 1639102403 Active

Practice location

50 Gaylord Farm Rd
Wallingford, CT 06492-2899

Call (203) 284-2800 Map

Fax (203) 294-8734

Mailing address

PO Box 400
Wallingford, CT 06492-7048

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X00-388689 (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 1639102403

Rose I. Vazquez-Santiago, LCSW, ACSW's National Provider Identifier is 1639102403, issued on Jul 7, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wallingford, CT. The record was last updated on May 27, 2021.