Individual provider · Type 1 NPI

John Keane Iv, LMSW, BA

Clinical Social Worker · Waterbury, CT

NPI number 1679900765 Active

Practice location

402 E Main St, Waterbury Op Adult Services
Waterbury, CT 06702-1701

Call (203) 755-1143 Map

Fax (203) 755-1447

Mailing address

141 E Main St, 4th Floor Administration
Waterbury, CT 06702-2310

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Social Worker 104100000X2166 (CT)
Clinical Social Worker Primary 1041C0700XNone listed

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 1679900765

John Keane Iv, LMSW, BA's National Provider Identifier is 1679900765, issued on Oct 3, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Waterbury, CT. The record was last updated on Jun 2, 2020.