Individual provider · Type 1 NPI

Safiya Lorriana Ruddock, LCSW

Clinical Social Worker · Newington, CT

NPI number 1811361702 Active

Practice location

100 Market Sq
Newington, CT 06111-2921

Call (860) 554-4194 Map

Mailing address

PO Box 2275
Middletown, CT 06457-0032

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X009734 (CT)
Clinical Social Worker 1041C0700XNone listed
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 1811361702

Safiya Lorriana Ruddock, LCSW's National Provider Identifier is 1811361702, issued on Nov 16, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Newington, CT. The record was last updated on Jul 4, 2023.