Individual provider · Type 1 NPI

Shannon Lee Wilks, MSW

Clinical Social Worker · New London, CT

NPI number 1780925537 Active

Practice location

255 Hempstead St
New London, CT 06320-6204

Call (860) 443-2896 Map

Fax (860) 442-5909

Mailing address

127 Federal St
New London, CT 06320-6238

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 1780925537

Shannon Lee Wilks, MSW's National Provider Identifier is 1780925537, issued on Mar 4, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New London, CT. The record was last updated on Mar 4, 2013.