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SUSAN CONNELLY LICENSED CLINICAL SOCIAL WORKER, P.C.
NPI 1467930453
Social Worker - Clinical in Endicott, NY

Active since August 01, 2018
515 E. MAIN ST, ENDICOTT, NY 13760(607) 427-4430(607) 444-3319 Get Directions Write a Review

NPPES record last updated: April 23, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 23, 2020, Aug 1, 2018 (2 updates tracked since 2018).

About Susan Connelly Licensed Clinical Social Worker, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN CONNELLY LICENSED CLINICAL SOCIAL WORKER, P.C. (NPI 1467930453) is a healthcare organization registered as a clinical in Endicott, New York and active in the NPI registry since August 2018. The organization lists Susan L Connelly, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1467930453
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameSUSAN CONNELLY LICENSED CLINICAL SOCIAL WORKER, P.C.
Location Address515 E. MAIN STEndicott, NY 13760-5023
Mailing Address515 E Main StEndicott, NY 13760-5023 · (607) 427-4430 · Fax (607) 444-3319
Phone(607) 427-4430
Fax(607) 444-3319
Organization SubpartNo
Authorized OfficialSusan L ConnellyOwner/provider · (607) 427-4430
Enumeration DateAugust 1, 2018
Last NPPES UpdateApril 23, 20202 updates tracked since enumeration
NPPES CertifiedApril 23, 2020
✔ NPI 1467930453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 043911-1
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
515 E. MAIN ST, Endicott, NY 13760
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Connelly Licensed Clinical Social Worker, P.C.'s NPI number?

The NPI number for Susan Connelly Licensed Clinical Social Worker, P.C. is 1467930453. It was assigned to this organization in the NPPES registry on August 1, 2018.

Where is Susan Connelly Licensed Clinical Social Worker, P.C. located?

Susan Connelly Licensed Clinical Social Worker, P.C. is located at 515 E. Main St, Endicott, NY 13760. The listed phone number is (607) 427-4430.

What is Susan Connelly Licensed Clinical Social Worker, P.C.'s specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Susan Connelly Licensed Clinical Social Worker, P.C. was last updated on April 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.