Individual provider · Type 1 NPI

Ketsia Destra

Clinical Social Worker · Waterbury, CT

NPI number 1740973296 Active

Practice location

80 Prospect St
Waterbury, CT 06702-1327

Call (203) 598-8630 Map

Mailing address

17 Moreland Ave
Waterbury, CT 06705-2916

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 1740973296

Ketsia Destra's National Provider Identifier is 1740973296, issued on May 31, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Waterbury, CT. The record was last updated on May 31, 2023.