Individual provider · Type 1 NPI
Marcus Allen Stallworth, LMSW
Clinical Social Worker · Waterbury, CT
Practice location
77 Chapman Ave Fl 3
Waterbury, CT 06710-1309
Mailing address
12 Snow Crystal Rd
Naugatuck, CT 06770-3527
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | None listed |
| Clinical Social Worker Primary | 1041C0700X | 1025 (CT) |
| Social Worker | 104100000X | None listed |
| Professional Counselor | 101YP2500X | None 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 1992103204
Marcus Allen Stallworth, LMSW's National Provider Identifier is 1992103204, issued on Dec 18, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Waterbury, CT. The record was last updated on Apr 15, 2015.