Individual provider · Type 1 NPI

Mary Jane King, LCSW

Clinical Social Worker · Norwich, CT

NPI number 1679638993 Active

Practice location

401 West Thames Street, Bldg 301 Southeastern Mental Health Authority
Norwich, CT 06360

Fax (860) 859-4790

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	006226 (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 1679638993

Mary Jane King, LCSW's National Provider Identifier is 1679638993, issued on Dec 27, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Norwich, CT. The record was last updated on Jul 8, 2007.