Individual provider · Type 1 NPI

Kimberley B. Herzog, LISW-S

Clinical Social Worker · Peoria, IL

NPI number 1134585441 Active

Practice location

5111 N Glen Park Place Rd
Peoria, IL 61614-4675

Call (309) 683-5700 Map

Fax (309) 683-5752

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XI1501458S (OH)
Social Worker 104100000X149021356 (IL)
Clinical Social Worker Primary 1041C0700X149021356 (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 1134585441

Kimberley B. Herzog, LISW-S's National Provider Identifier is 1134585441, issued on Jan 4, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Peoria, IL. The record was last updated on Aug 12, 2019.