Individual provider · Type 1 NPI
Jacquelin Diane Ejka, LCSW
Clinical Social Worker · Washington, IL
Practice location
1003 N Cummings Ln
Washington, IL 61571-9646
Fax (309) 444-7000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 149.014899 (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 1083070940
Jacquelin Diane Ejka, LCSW's National Provider Identifier is 1083070940, issued on Jan 7, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Washington, IL. The record was last updated on Jan 7, 2016.