Individual provider · Type 1 NPI

Tonya Shanks

Clinical Social Worker · Rockford, IL

NPI number 1124724497 Active

Practice location

631 N Longwood St Ste 103
Rockford, IL 61107-4263

Call (815) 962-5585 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149028075 (IL)
Social Worker 104100000X150.110252 (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 1124724497

Tonya Shanks's National Provider Identifier is 1124724497, issued on Feb 7, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rockford, IL. The record was last updated on Dec 4, 2025.