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MC DIAGNOSTIC OF CONNECTICUT P.C. NPI 1831857861


NPI Information

NPI: 1831857861
Provider Name: MC DIAGNOSTIC OF CONNECTICUT, P.C.
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

CLIA Number: 07D2222446

Address:
519 BOSTON POST RD
OLD SAYBROOK, CT
ZIP 06475
Phone: (855) 417-2486
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MC DIAGNOSTIC OF CONNECTICUT, P.C. is a clinical social worker in Old Saybrook, 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. MC DIAGNOSTIC OF CONNECTICUT, P.C. NPI is 1831857861. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

519 BOSTON POST RD
OLD SAYBROOK, CT
ZIP 06475-526
Phone: (855) 417-2486

The provider's authorized official is Deborah Jean Pincince .
The authorized official title is Administrator and has the following contact phone number (401) 770-3813.

The CLIA number assigned to this NPI record is 07D2222446 - other - lmt. serv. health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/7/2021 and was last updated on 12/7/2021.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalYes

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: 5/5/2024

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