Individual provider · Type 1 NPI

Lori Anne Konieczka, LISW-S

Clinical Social Worker · Cleveland, OH

NPI number 1639475882 Active

Practice location

3518 W 25th St
Cleveland, OH 44109-1951

Fax (216) 320-8748

Mailing address

4260 Laurel Glen Dr.
Broadview Heights, OH 44147-2723

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XI. 0800087 SUPV (OH)

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 1639475882

Lori Anne Konieczka, LISW-S's National Provider Identifier is 1639475882, issued on Feb 7, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Cleveland, OH. The record was last updated on Feb 24, 2016.