Individual provider · Type 1 NPI
Channe Fodeman, LCSW
Clinical Social Worker · Westport, CT
Practice location
12 Hillspoint Road
Westport, CT 06880-4536
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 001072 (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 1922114016
Channe Fodeman, LCSW's National Provider Identifier is 1922114016, issued on Aug 22, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Westport, CT. The record was last updated on Jul 8, 2007.