Individual provider · Type 1 NPI
Mary Mims
Clinical Social Worker · Homewood, IL
Practice location
1051 185th St
Homewood, IL 60430-3509
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | 149022074 (IL) |
| Clinical Social Worker Primary | 1041C0700X | 34006323A (IN) |
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 1174989016
Mary Mims's National Provider Identifier is 1174989016, issued on Jan 7, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Homewood, IL. The record was last updated on May 11, 2020.