Individual provider · Type 1 NPI

Diana L. Connolly, LCSW

Clinical Social Worker · Davis, CA

NPI number 1962655076 Active

Practice location

430 10th St
Davis, CA 95616-1942

Mailing address

PO Box 2154
Davis, CA 95617-2154

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS 16059 (CA)

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 1962655076

Diana L. Connolly, LCSW's National Provider Identifier is 1962655076, issued on Nov 3, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Davis, CA. The record was last updated on Nov 3, 2008.