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07D2108770 CLIA NUMBER - HARTFORD COMMUNITY MENTAL HEALTH CENTER, INC

Laboratory Demographics

CLIA Number: 07D2108770

Facility Name: HARTFORD COMMUNITY MENTAL HEALTH CENTER, INC

Facility Address:
2550 MAIN ST
HARTFORD, CT
ZIP 06120
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Facility Phone Number: 860 548-0101

Facility Type: Community Clinic

Certificate Type: Waiver
NPI Number: 1598158628

Taxonomy: 1041C0700X - 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 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.

CLIA Record

Field Name Field Value
CLIA Number 07D2108770
LAB Type Community Clinic
Facility Name HARTFORD COMMUNITY MENTAL HEALTH CENTER, INC
Street 2550 MAIN ST
City HARTFORD
State CT
ZIP 06120
Phone 860 548-0101
CertificateType 4
CertificateEffectiveDate 2/11/2024
CertificateExpirationDate 2/10/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024