Individual provider · Type 1 NPI
Susan Marie Gambach, LCSW
Clinical Social Worker · Champaign, IL
Practice location
1514 Country Lake Dr
Champaign, IL 61821-6428
Mailing address
116 N Chestnut St, Suite 243
Champaign, IL 61820-4039
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 149015516 (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 1164775458
Susan Marie Gambach, LCSW's National Provider Identifier is 1164775458, issued on Oct 24, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Champaign, IL. The record was last updated on Oct 24, 2012.