Individual provider · Type 1 NPI

Mary Jeanbyk, LCSW

Clinical Social Worker · East Lyme, CT

NPI number 1689052946 Active

Practice location

5 Church Ln Ste 5
East Lyme, CT 06333-1621

Mailing address

37 Monticello Dr
East Lyme, CT 06333-1231

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X003902 (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 1689052946

Mary Jeanbyk, LCSW's National Provider Identifier is 1689052946, issued on May 7, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in East Lyme, CT. The record was last updated on May 7, 2015.