Individual provider · Type 1 NPI

Mykel Wolfe, LCSW

Clinical Social Worker · Marion, IL

NPI number 1205299781 Active

Practice location

2401 W Main St
Marion, IL 62959-1188

Mailing address

914 W Walnut St, Apt. D
Marion, IL 62959-2744

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149.018383 (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 1205299781

Mykel Wolfe, LCSW's National Provider Identifier is 1205299781, issued on Apr 1, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Marion, IL. The record was last updated on Sep 13, 2016.