Individual provider · Type 1 NPI

Kimona Shatice Spencer, LCSW

Clinical Social Worker · New Haven, CT

NPI number 1790196640 Active

Practice location

20 York St
New Haven, CT 06510-3220

Call (203) 688-9704 Map

Mailing address

600 Clark Ave Apt 36
Bristol, CT 06010-4098

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X010026 (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 1790196640

Kimona Shatice Spencer, LCSW's National Provider Identifier is 1790196640, issued on May 14, 2014. 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 Jan 2, 2019.