Individual provider · Type 1 NPI

Shannon Dolan

Clinical Social Worker · Peoria, IL

NPI number 1003556135 Active

Practice location

7717 N Orange Prairie Rd
Peoria, IL 61615-9323

Call (309) 589-6800 Map

Mailing address

809 Dogwood Dr
Washington, IL 61571-2336

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149024396 (IL)

Clinical Social Worker: 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 interpers…

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About NPI 1003556135

Shannon Dolan's National Provider Identifier is 1003556135, issued on Mar 29, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Peoria, IL. The record was last updated on Mar 29, 2022.