Individual provider · Type 1 NPI

Nicole Bennett, LCSW

Clinical Social Worker · Belvidere, IL

NPI number 1194549402 Active

Practice location

8787 Beloit Rd
Belvidere, IL 61008-1701

Mailing address

3606 Pinecrest Rd
Rockford, IL 61107-1308

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149020453 (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 1194549402

Nicole Bennett, LCSW's National Provider Identifier is 1194549402, issued on Nov 13, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Belvidere, IL. The record was last updated on Nov 13, 2024.