Organization · Type 2 NPI

Broadreach Counseling LLC

Clinical Social Worker · Libertyville, IL

NPI number 1063937324 Active

Practice location

1580 S Milwaukee Ave Ste 104
Libertyville, IL 60048-3770

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X180.010359 (IL)
Clinical Social Worker Primary 1041C0700X149.018710 (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 1063937324

Broadreach Counseling LLC's National Provider Identifier is 1063937324, issued on Aug 8, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Libertyville, IL. The record was last updated on Nov 13, 2017.