Individual provider · Type 1 NPI

Mary Ellen Fassnacht, LCSW

Clinical Social Worker · Midland Park, NJ

NPI number 1245703909 Active

Practice location

317 Godwin Ave
Midland Park, NJ 07432-1519

Mailing address

4 Rathbun Rd
Towaco, NJ 07082-1207

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X44SC05420600 (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 1245703909

Mary Ellen Fassnacht, LCSW's National Provider Identifier is 1245703909, issued on Jan 5, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Midland Park, NJ. The record was last updated on Jan 5, 2019.