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Mrs. Marissa L Maple, LCSW
Clinical Social Worker in Southington, Connecticut
NPI 1366861551

Marissa L Maple is a Clinical Social Worker based in Southington, CT and is specialized in Clinical. Marissa L Maple practices in Southington, CT and has the professional credentials of LCSW. The NPI Number for Marissa L Maple is 1366861551 and holds a License No. PTN.0011947 (Connecticut).

The current practice location address for Marissa L Maple is 1187 Queen St, Southington, CT and can be reached out via phone at 860-255-4502.

Location: 1187 Queen St, Southington, CT, 06489-1266
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366861551
Provider Name
Marissa L Maple
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
1187 Queen St, Southington, CT, 06489-1266
Phone Number
860-255-4502
Fax Number
Provider Enumeration Date
04/15/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
060669107 01 CT UNITED BEHAVIORAL HEALTH WELLMORE GRP/FACILITY
PENDING 01 CT AETNA BEHAVIORAL HEALTH
008060347 05 CT
060669107 01 CT UBH OXFORD/FREEDOM/LIBERTY WELLMORE GRP/FACILITY
PENDING 01 CT MHN TRICARE NORTH
PENDING 01 CT CIGNA BEHAVIORAL HEALTH
060669107 01 CT ANTHEM BCBS OF CT WELLMORE GRP/FACILITY
060669107 01 CT UBH-UNITED HEALTHCARE WELLMORE GRP/FACILITY
060669107 01 CT UBH-CONNECTICARE WELLMORE GRP/FACILITY
D339209 01 CT VALUE OPTIONS/BEACON HEALTH STRATEGIES
13559521 01 CT CAQH
PENDING 01 CT MHN MANAGED HEALTH NETWORK
institution
Provider Business Practice Location Address Details
Address
1187 Queen St
City
Southington
State
Connecticut
Zip
06489-1266
Phone Number
860-255-4502
Fax Number
person
Provider Business Mailing Address Details
Address
1187 Queen St
City
Southington
State
Connecticut
Zip
06489-1266
Phone Number
860-255-4502
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
9267 (Connecticut)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Pharmacy Service Providers
Classification
Pharmacy Technician
Speciality
-
Taxonomy
183700000X
License No.
PTN.0011947 (Connecticut)
Definition
A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist.
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