Organization · Type 2 NPI

Emotional Revival LLC

Clinical Social Worker · Ellington, CT

NPI number 1972211563 Active

Practice location

130 Hoffman Rd
Ellington, CT 06029-2421

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1972211563

Emotional Revival LLC's National Provider Identifier is 1972211563, issued on Nov 11, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ellington, CT. The record was last updated on Nov 11, 2022.