Individual provider · Type 1 NPI

Crystal Mackinnon, LCSW

Clinical Social Worker · Groton, CT

NPI number 1275812372 Active

Practice location

428 Long Hill Rd Ste 201
Groton, CT 06340-3811

Fax (833) 204-4896

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X008709 (CT)

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 1275812372

Crystal Mackinnon, LCSW's National Provider Identifier is 1275812372, issued on Aug 8, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Groton, CT. The record was last updated on Mar 5, 2021.