Individual provider · Type 1 NPI

Stephanie Street, LCSW

Clinical Social Worker · New Haven, CT

NPI number 1992238802 Active

Practice location

226 Dixwell Ave, Northside Community Outpatient Services
New Haven, CT 06511-3456

Call (203) 503-3470 Map

Fax (203) 503-3478

Mailing address

400 Columbus Ave, Credentialing Specialist
New Haven, CT 06519-1233

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X9650 (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 1992238802

Stephanie Street, LCSW's National Provider Identifier is 1992238802, issued on Apr 7, 2017. 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 Oct 2, 2019.