Individual provider · Type 1 NPI

William Tiva Bounthong, LCSW

Clinical Social Worker · Loves Park, IL

NPI number 1144091505 Active

Practice location

7399 Forest Hills Rd
Loves Park, IL 61111-3974

Call (815) 708-7392 Map

Fax (815) 708-8248

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X149025844 (IL)
Clinical Social Worker Primary 1041C0700X149025844 (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 1144091505

William Tiva Bounthong, LCSW's National Provider Identifier is 1144091505, issued on Jan 12, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Loves Park, IL. The record was last updated on Feb 22, 2024.