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AFFILIATES FOR CONSULTATION AND PSYCHOTHERAPY NPI 1255601548


NPI Information

NPI: 1255601548
Provider Name: AFFILIATES FOR CONSULTATION AND PSYCHOTHERAPY
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
389 ORANGE ST.
NEW HAVEN, CT
ZIP 06511
Phone: (203) 562-4235
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AFFILIATES FOR CONSULTATION AND PSYCHOTHERAPY is a clinical social worker in New Haven, CT. The provider is 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. AFFILIATES FOR CONSULTATION AND PSYCHOTHERAPY NPI is 1255601548. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

389 ORANGE ST.
NEW HAVEN, CT
ZIP 06511-406
Phone: (203) 562-4235
Fax: (203) 624-6600

The provider's authorized official is Thomas G. Campbell .
The authorized official title is General Partner And Practice Direct and has the following contact phone number (203) 562-4235.

The enumeration date for this NPI number is 1/4/2012 and was last updated on 1/4/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorCONNECTICUTNo
2101YA0400XCounselorAddiction (Substance Use Disorder)CONNECTICUTNo
3101YM0800XCounselorMental HealthCONNECTICUTNo
4101YP1600XCounselorPastoralCONNECTICUTNo
5101YP2500XCounselorProfessionalCONNECTICUTNo
6104100000XSocial WorkerCONNECTICUTNo
7106H00000XMarriage & Family TherapistCONNECTICUTNo
81041C0700XSocial WorkerClinicalCONNECTICUTYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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