Individual provider · Type 1 NPI

Kim A. O'Connell, LCSW

Clinical Social Worker · Montclair, NJ

NPI number 1124258140 Active

Practice location

11 South Fullerton Ave
Montclair, NJ 07042

Mailing address

90 Park St
Montclair, NJ 07042-2929

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X44SC05212100 (NJ)

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 1124258140

Kim A. O'Connell, LCSW's National Provider Identifier is 1124258140, issued on Jul 24, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Montclair, NJ. The record was last updated on Jul 24, 2009.