Individual provider · Type 1 NPI

Mary Ann Eichorn

Clinical Social Worker · Peoria Heights, IL

NPI number 1063436657 Active

Practice location

4700 N Prospect Rd, Suite A-1
Peoria Heights, IL 61616-6451

Fax (309) 679-0703

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 1063436657

Mary Ann Eichorn's National Provider Identifier is 1063436657, issued on Jul 27, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Peoria Heights, IL. The record was last updated on Jul 8, 2007.