Individual provider · Type 1 NPI

Michael John Trader, L.C.S.W.

Clinical Social Worker · Rockford, IL

NPI number 1053474460 Active

Practice location

129 Phelps Ave, Suite 818
Rockford, IL 61108-2453

Call (815) 229-6316 Map

Fax (815) 229-6316

Mailing address

129 S Phelps Ave, Suite 818
Rockford, IL 61108-2453

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1053474460

Michael John Trader, L.C.S.W.'s National Provider Identifier is 1053474460, issued on Dec 18, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rockford, IL. The record was last updated on Jul 8, 2007.