Individual provider · Type 1 NPI
Thomas Wayne Moll, LCSW
Clinical Social Worker · Herrick, IL
Practice location
PO Box 144
Herrick, IL 62431-0144
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 149.010950 (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…
About NPI 1053459503
Thomas Wayne Moll, LCSW's National Provider Identifier is 1053459503, issued on Feb 4, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Herrick, IL. The record was last updated on Jan 21, 2025.