Individual provider · Type 1 NPI

Gent Lee Daniels Iii, LCSW

Clinical Social Worker · New Haven, CT

NPI number 1679920656 Active

Practice location

400 Columbus Ave
New Haven, CT 06519-1233

Call (203) 503-3171 Map

Fax (203) 503-3183

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X9430 (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 1679920656

Gent Lee Daniels Iii, LCSW's National Provider Identifier is 1679920656, issued on May 19, 2016. 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 May 19, 2016.