Individual provider · Type 1 NPI

Cody Cooper Bergeron, LCSW

Clinical Social Worker · Fairfield, CT

NPI number 1649606096 Active

Practice location

425 Kings Hwy E
Fairfield, CT 06825-4852

Call (203) 307-0119 Map

Mailing address

516 Woodridge Ave
Fairfield, CT 06825-2577

Other practice locations

  • 516 Woodridge Ave, Fairfield, CT 06825-2577 · (203) 247-9039

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X8934 (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 1649606096

Cody Cooper Bergeron, LCSW's National Provider Identifier is 1649606096, issued on Sep 17, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fairfield, CT. The record was last updated on Dec 6, 2021.