Individual provider · Type 1 NPI

Mary Gonnella, LCSW

Clinical Social Worker · Thornton, CO

NPI number 1952701682 Active

Practice location

9197 Grant St, Suite 100
Thornton, CO 80229-4329

Fax (303) 477-9055

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X989497 (CO)

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 1952701682

Mary Gonnella, LCSW's National Provider Identifier is 1952701682, issued on Aug 29, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Thornton, CO. The record was last updated on Aug 29, 2014.