Individual provider · Type 1 NPI

Kim Marie Donovan, LCSW

Clinical Social Worker · Roscoe, IL

NPI number 1225674674 Active

Practice location

11447 2nd St Ste 9B
Roscoe, IL 61073-9522

Call (815) 601-4673 Map

Mailing address

6426 Twin Deer Run
Roscoe, IL 61073-7239

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149.019932 (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 1225674674

Kim Marie Donovan, LCSW's National Provider Identifier is 1225674674, issued on Nov 20, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Roscoe, IL. The record was last updated on Nov 20, 2019.