Individual provider · Type 1 NPI

Trisha P. Malott, LCSW

Clinical Social Worker · Springfield, IL

NPI number 1114220837 Active

Practice location

901 W Jefferson St
Springfield, IL 62702-4833

Fax (217) 545-2275

Mailing address

PO Box 19642
Springfield, IL 62794-9642

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149013615 (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 1114220837

Trisha P. Malott, LCSW's National Provider Identifier is 1114220837, issued on Dec 20, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Springfield, IL. The record was last updated on Jun 22, 2011.