Individual
MRS. ELIZABETH (BETSY) M MCCONNELL
Active
Individual
MRS. ELIZABETH (BETSY) M MCCONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW,LICSW,BCD
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
000113075
MA
1041C0700X
Clinical Social Worker
Primary
CW017609
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000113075
LICENSE NUMBER LICSW
MA
01
—
CW017609
PA LICENSE IN CLINICAL SOCIAL SOCIAL WORK
PA
01
—
PO8562
BLUE CROSS
MA
Enumeration date
07/09/2006
Last updated
12/03/2013
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