Individual provider · Type 1 NPI

Kelsey Ott-Sudik

Clinical Social Worker · Old Lyme, CT

NPI number 1821532904 Active

Practice location

55 Hatchetts Hill Rd
Old Lyme, CT 06371-1534

Call (800) 370-3651 Map

Fax (877) 515-7147

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW131918 (PA)

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 1821532904

Kelsey Ott-Sudik's National Provider Identifier is 1821532904, issued on Dec 8, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Old Lyme, CT. The record was last updated on Dec 8, 2016.