Organization · Type 2 NPI

Susan Connelly Licensed Clinical Social Worker, P.c.

Clinical Social Worker · Endicott, NY

NPI number 1467930453 Active

Practice location

515 E. Main St
Endicott, NY 13760-5023

Fax (607) 444-3319

Mailing address

515 E Main St
Endicott, NY 13760-5023

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X043911-1 (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 1467930453

Susan Connelly Licensed Clinical Social Worker, P.c.'s National Provider Identifier is 1467930453, issued on Aug 1, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Endicott, NY. The record was last updated on Apr 23, 2020.