Individual provider · Type 1 NPI
Dominique Decilla, LCSW
Clinical Social Worker · New Haven, CT
Practice location
67 Trumbull St
New Haven, CT 06510-1004
Mailing address
109 Legion Ave
New Haven, CT 06519-5506
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 9304 (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 1891160206
Dominique Decilla, LCSW's National Provider Identifier is 1891160206, issued on Dec 10, 2015. 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 Oct 25, 2018.