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Contact Information

KIM A OCONNELL, LCSW
11 SOUTH FULLERTON AVE
MONTCLAIR, NJ07042
 Phone: 973-632-6243
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for KIM A OCONNELL · (Female)

NPI # 1124258140
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 07/24/2009
Last updated 07/24/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 44SC05212100
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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