Individual provider · Type 1 NPI

Mariah Concannon

Clinical Social Worker · New Haven, CT

NPI number 1861131930 Active

Practice location

458 Grand Ave
New Haven, CT 06513-3856

Call (203) 752-1212 Map

Mailing address

32 Manzoni Farm Dr
Madison, CT 06443-1966

Specialties and licenses

TaxonomyCodeLicense
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 1861131930

Mariah Concannon's National Provider Identifier is 1861131930, issued on May 27, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New Haven, CT. The record was last updated on May 27, 2022.