Individual provider · Type 1 NPI
Malyna Kettavong, LCSW
Clinical Social Worker · Norwich, CT
Practice location
47 Town St
Norwich, CT 06360-2315
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | None listed |
| Clinical Social Worker Primary | 1041C0700X | 8972 (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 1922435676
Malyna Kettavong, LCSW's National Provider Identifier is 1922435676, issued on Sep 26, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Norwich, CT. The record was last updated on Aug 5, 2016.