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ELLEN DORAM LCSW NPI 1326590233


NPI Information

NPI: 1326590233
Provider Name: ELLEN DORAM, LCSW
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

Address:
20 YORK ST
SOCIAL WORK DEPARTMENT EP10-635
NEW HAVEN, CT
ZIP 06510
Phone: (203) 688-1855
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Ellen Doram, LCSW 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. Ellen Doram, LCSW NPI is 1326590233. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

20 YORK ST
SOCIAL WORK DEPARTMENT EP10-635
NEW HAVEN, CT
ZIP 06510-220
Phone: (203) 688-1855
Fax: (203) 688-2395

The enumeration date for this NPI number is 10/26/2016 and was last updated on 10/26/2016.


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
11041C0700XSocial WorkerClinical4736CONNECTICUTYes

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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