Organization · Type 2 NPI

Blue Note Therapy PLLC

Clinical Social Worker · Goreville, IL

NPI number 1063345809 Active

Practice location

2220 Friendship Loop
Goreville, IL 62939-2153

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…

About NPI 1063345809

Blue Note Therapy PLLC's National Provider Identifier is 1063345809, issued on Jun 3, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Goreville, IL. The record was last updated on Sep 13, 2026.