Brendan O'Connell, LCSW
Social Worker, Clinical in East Islip, NY. Individual provider (NPI-1).
NPI number1669937397
StatusActive
Last updated in NPPESFeb 6, 2019
Details
- NPI
- 1669937397
- Entity type
- Individual (NPI-1)
- Name
- Brendan O'Connell
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 6, 2019
- Last updated
- Feb 6, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 085772 | NY | Yes |
Practice location
55 Carleton Ave Ste 5East Islip, NY 11730-2133
Phone 631-579-3503
Mailing address
280 Bay AvePatchogue, NY 11772-4019
Phone 631-678-2802
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All 33 Clinical Social Worker providers in East Islip · All 450 providers in East Islip
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