Individual provider · Type 1 NPI

Ignatius A. Samuel, LCSW

Clinical Social Worker · Dayville, CT

NPI number 1861636631 Active

Practice location

1007 N Main St
Dayville, CT 06241-2170

Call (860) 774-2020 Map

Fax (860) 774-0095

Mailing address

157 Dover St
Providence, RI 02908-3931

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCSW00579 (RI)

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 1861636631

Ignatius A. Samuel, LCSW's National Provider Identifier is 1861636631, issued on Apr 23, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Dayville, CT. The record was last updated on Apr 23, 2009.