Individual provider · Type 1 NPI

Jacob P. Register, LCSW

Clinical Social Worker · Bloomington, IL

NPI number 1174279244 Active

Practice location

808 S Eldorado Rd Ste 102
Bloomington, IL 61704-6075

Mailing address

1603 N Linden St
Normal, IL 61761-1474

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149023795 (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 1174279244

Jacob P. Register, LCSW's National Provider Identifier is 1174279244, issued on Feb 26, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bloomington, IL. The record was last updated on Feb 26, 2022.