Individual provider · Type 1 NPI
Kristine Maynard, LCSW
Clinical Social Worker · La Grange, IL
Practice location
1030 S. La Grange Rd, Ste #9
La Grange, IL 60525
Fax (708) 588-1501
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 149008276 (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 1215077011
Kristine Maynard, LCSW's National Provider Identifier is 1215077011, issued on Feb 8, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in La Grange, IL. The record was last updated on Feb 3, 2020.