Individual provider · Type 1 NPI

Ryan Macdonough

Clinical Social Worker · East Hartford, CT

NPI number 1639546005 Active

Practice location

281 Main St
East Hartford, CT 06118-1823

Call (860) 291-1309 Map

Fax (860) 291-1396

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X9212 (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 1639546005

Ryan Macdonough's National Provider Identifier is 1639546005, issued on Sep 1, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in East Hartford, CT. The record was last updated on Sep 1, 2015.