Individual provider · Type 1 NPI
Shayna Provencher, LCSW
Clinical Social Worker · New London, CT
Practice location
164 Hempstead St
New London, CT 06320-5638
Mailing address
100 Plaza Ct PO Box 661
Groton, CT 06340-5702
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 13552 (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…
3 other providers at this address
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About NPI 1801593199
Shayna Provencher, LCSW's National Provider Identifier is 1801593199, issued on Feb 8, 2023. 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 Jan 6, 2025.