Organization · Type 2 NPI

Thomas Blackwell, Lcsw, LLC

Clinical Social Worker · Stratford, CT

NPI number 1699319152 Active

Practice location

2945 Main St Ste A
Stratford, CT 06614-4978

Mailing address

80 Virginia Ave
Bridgeport, CT 06610-1506

Other practice locations

  • 55 Church St Ste 602, New Haven, CT 06510-3014 · (203) 814-2176

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1699319152

Thomas Blackwell, Lcsw, LLC's National Provider Identifier is 1699319152, issued on Oct 28, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Stratford, CT. The record was last updated on Jul 22, 2020.