Individual provider · Type 1 NPI

Amanda Gaugler

Clinical Social Worker · Champaign, IL

NPI number 1083074488 Active

Practice location

1802 S Mattis Ave
Champaign, IL 61821-5923

Fax (217) 365-2856

Mailing address

611 W Park St
Urbana, IL 61801-2529

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Clinical Social Worker Primary 1041C0700X149024034 (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 1083074488

Amanda Gaugler's National Provider Identifier is 1083074488, issued on Feb 26, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Champaign, IL. The record was last updated on May 19, 2022.