Individual provider · Type 1 NPI

Mary W. Nicholas, PhD, L.C.S.W.

Clinical Social Worker · New Haven, CT

NPI number 1740204890 Active

Practice location

441 Orange St
New Haven, CT 06511-6217

Call (203) 776-4495 Map

Fax (203) 458-6068

Mailing address

25 Water St
Guilford, CT 06437-2861

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X001336 (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 1740204890

Mary W. Nicholas, PhD, L.C.S.W.'s National Provider Identifier is 1740204890, issued on Jul 26, 2006. 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 11, 2007.