Individual provider · Type 1 NPI
Agnes Black, LCSW
Clinical Social Worker · Hartford, CT
Practice location
500 Vine St, Capitol Region Mental Health Center
Hartford, CT 06114
Fax (860) 297-0931
Mailing address
500 Vine Street, Human Resource
Hartford, CT 06114
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 231744423 (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 1730332487
Agnes Black, LCSW's National Provider Identifier is 1730332487, issued on Oct 28, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Hartford, CT. The record was last updated on Oct 28, 2008.