Individual provider · Type 1 NPI

Jill C. Sandora

Clinical Social Worker · East Lyme, CT

NPI number 1912084112 Active

Practice location

315 Flanders Rd
East Lyme, CT 06333-1711

Mailing address

23 Scenic View Dr
Waterford, CT 06385-1123

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X005272 (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 1912084112

Jill C. Sandora's National Provider Identifier is 1912084112, issued on Nov 1, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in East Lyme, CT. The record was last updated on Jan 9, 2023.