Individual provider · Type 1 NPI

Brian Kaczor

Clinical Social Worker · Holyoke, MA

NPI number 1508070319 Active

Practice location

1233 Main St
Holyoke, MA 01040-5381

Fax (413) 493-2853

Mailing address

41 Barry Ln
Simsbury, CT 06070-2018

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Clinical Social Worker Primary 1041C0700X217008 (MA)

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 1508070319

Brian Kaczor's National Provider Identifier is 1508070319, issued on May 10, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Holyoke, MA. The record was last updated on Sep 29, 2016.