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MARCUS ALLEN STALLWORTH LMSW NPI 1992103204


NPI Information

NPI: 1992103204
Provider Name: MARCUS ALLEN STALLWORTH, LMSW
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

Address:
77 CHAPMAN AVE FL 3
WATERBURY, CT
ZIP 06710
Phone: (203) 568-5662
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Marcus Allen Stallworth, LMSW is a clinical social worker in Waterbury, 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. Marcus Allen Stallworth, LMSW NPI is 1992103204. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

77 CHAPMAN AVE FL 3
WATERBURY, CT
ZIP 06710-309
Phone: (203) 568-5662

The enumeration date for this NPI number is 12/18/2014 and was last updated on 4/15/2015.


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
1104100000XSocial WorkerNo
2101YP2500XCounselorProfessionalNo
3101Y00000XCounselorNo
41041C0700XSocial WorkerClinical1025CONNECTICUTYes

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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