Individual provider · Type 1 NPI

Terri Lee Waller, LCSW

Clinical Social Worker · New Haven, CT

NPI number 1992840284 Active

Practice location

34 Park St, Connecticut Mental Health Center
New Haven, CT 06519

Call (203) 974-7417 Map

Fax (203) 974-7413

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X005627

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 1992840284

Terri Lee Waller, LCSW's National Provider Identifier is 1992840284, issued on Feb 21, 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 8, 2007.