Individual provider · Type 1 NPI

Martha Jo McConnell, L.C.S.W.

Clinical Social Worker · Waterloo, NY

NPI number 1609939842 Active

Practice location

1083 Waterloo Geneva Rd
Waterloo, NY 13165-1202

Fax (315) 539-4394

Mailing address

1163 Route 14 South
Lyons, NY 14489

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X080733 (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 1609939842

Martha Jo McConnell, L.C.S.W.'s National Provider Identifier is 1609939842, issued on Dec 19, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Waterloo, NY. The record was last updated on May 20, 2013.