Individual provider · Type 1 NPI

Phetsamon Dilullo

Clinical Social Worker · Windsor, CT

NPI number 1982168688 Active · reactivated Apr 12, 2019

Practice location

32 Maple Ave
Windsor, CT 06095-2922

Call (860) 973-9171 Map

Other practice locations

  • 32 Maple Ave, Windsor, CT 06095-2922 · (860) 973-9171

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X010163 (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 1982168688

Phetsamon Dilullo's National Provider Identifier is 1982168688, issued on Jan 27, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Windsor, CT. The record was last updated on Apr 12, 2019.