Individual provider · Type 1 NPI
Iris Ellen Fanning
Clinical Social Worker · Rockford, IL
Practice location
6653 Weaver Rd Ste 106
Rockford, IL 61114-8068
Fax (779) 235-9660
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 150.131791 (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…
2 other providers at this address
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About NPI 1194638668
Iris Ellen Fanning's National Provider Identifier is 1194638668, issued on Sep 25, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rockford, IL. The record was last updated on Sep 25, 2026.