Individual provider · Type 1 NPI

Danielle D. Beasley

Clinical Social Worker · Bloomington, IL

NPI number 1114262599 Active

Practice location

108 W Market St
Bloomington, IL 61701-3918

Fax (309) 829-6808

Mailing address

1504 Northbrook Dr Apt 10
Normal, IL 61761-6063

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X150011756 (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 1114262599

Danielle D. Beasley's National Provider Identifier is 1114262599, issued on Dec 11, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bloomington, IL. The record was last updated on Dec 11, 2012.