Individual provider · Type 1 NPI

Laura Goldblum, LCSW

Clinical Social Worker · New Haven, CT

NPI number 1639652779 Active

Practice location

1450 Chapel Childrens Hospital, 1450 Chapel Street
New Haven, CT 06510

Fax (203) 688-2395

Mailing address

20 York Street, Social Work Department EP10-635
New Haven, CT 06510

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X3296 (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 1639652779

Laura Goldblum, LCSW's National Provider Identifier is 1639652779, issued on Sep 14, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New Haven, CT. The record was last updated on Sep 14, 2018.