Individual provider · Type 1 NPI

Jason Matthew Van Sickle, LCSW, MSCS, COR

Clinical Social Worker · Marion, IL

NPI number 1114259207 Active

Practice location

2401 W Main St
Marion, IL 62959-1188

Call (618) 997-5311 Map

Fax (618) 998-5697

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149-019731 (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 1114259207

Jason Matthew Van Sickle, LCSW, MSCS, COR's National Provider Identifier is 1114259207, issued on Feb 1, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Marion, IL. The record was last updated on Apr 29, 2021.