Individual provider · Type 1 NPI

Maryjane Quenneville

Clinical Social Worker · Syracuse, NY

NPI number 1003587643 Active

Practice location

124 Northern Lights Dr Ste 20
Syracuse, NY 13212-4119

Call (315) 326-1008 Map

Other practice locations

  • 9430 Birch Tree Rd, Brewerton, NY 13029-9407 · (315) 729-3701

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X085429 (NY)

Clinical 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 interpers…

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About NPI 1003587643

Maryjane Quenneville's National Provider Identifier is 1003587643, issued on Sep 23, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Syracuse, NY. The record was last updated on Mar 13, 2023.