Individual provider · Type 1 NPI
Ellice Lynn Matza, MSW
Clinical Social Worker · New Haven, CT
Practice location
493 Fountain St
New Haven, CT 06515-1830
Mailing address
493 Fountain Street
New Haven, CT 06515-1830
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | R0182851 (NY) |
| Clinical Social Worker Primary | 1041C0700X | 002299 (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 1962600973
Ellice Lynn Matza, MSW's National Provider Identifier is 1962600973, issued on Jul 11, 2007. 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 Jul 11, 2007.