Organization · Type 2 NPI

Mary Ellen Fassnacht

Clinical Social Worker · Butler, NJ

NPI number 1013564079 Active

Practice location

1250 Rte 23
Butler, NJ 07405-2037

Mailing address

317 Godwin Ave
Midland Park, NJ 07432-1519

Other practice locations

  • 317 Godwin Ave, Midland Park, NJ 07432-1519 · (973) 722-9831

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1013564079

Mary Ellen Fassnacht's National Provider Identifier is 1013564079, issued on Aug 23, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Butler, NJ. The record was last updated on Aug 23, 2019.