Individual provider · Type 1 NPI

Eddie K. Wong, MSW

Clinical Social Worker · Peoria, IL

NPI number 1013258474 Active

Practice location

600 Fayette St
Peoria, IL 61603-3610

Call (309) 671-8005 Map

Fax (309) 671-8021

Mailing address

PO Box 1346
Peoria, IL 61654-1346

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149005689 (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 1013258474

Eddie K. Wong, MSW's National Provider Identifier is 1013258474, issued on Mar 11, 2013. 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 11, 2013.