Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Corey Russell McConnell, LISW-S

Individual provider Clinical Social Worker · NPI 1790278422

Corey Russell McConnell, LISW-S is a Clinical Social Worker in Toledo, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2018

Practice location Address checks out

3130 Executive Pkwy Ste 2D
Toledo, OH 43606-5534
Phone: (567) 343-8743
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence I.2203927-SUPV (OH)

Record details

NPI number1790278422
Entity typeIndividual (Type 1)
GenderMale
Credentials LISW-S
Sole proprietorYes
NPI enumeratedJune 7, 2018
Last updated in NPPESNovember 11, 2023
Certification dateNovember 11, 2023

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