Individual provider · Type 1 NPI

Shannon Marie Klock, LCSW

Clinical Social Worker · Vernon, CT

NPI number 1992449649 Active

Practice location

27 Hartford Tpke Ste 207
Vernon, CT 06066-5245

Mailing address

110 Collie Brook Rd
East Hampton, CT 06424-1641

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X58.012170 (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 1992449649

Shannon Marie Klock, LCSW's National Provider Identifier is 1992449649, issued on Apr 27, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Vernon, CT. The record was last updated on Apr 27, 2022.