Individual provider · Type 1 NPI

Carol A. Martin, LCSW

Clinical Social Worker · Rockford, IL

NPI number 1184722944 Active

Practice location

4940 E State St
Rockford, IL 61108-2270

Call (815) 227-0081 Map

Mailing address

12 Waterfront Ct
Algonquin, IL 60102-6832

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X149.002.115 (IL)
Clinical Social Worker Primary 1041C0700X149002115 (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 1184722944

Carol A. Martin, LCSW's National Provider Identifier is 1184722944, issued on Sep 20, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rockford, IL. The record was last updated on Aug 11, 2024.