Organization · Type 2 NPI
Life Bridge Therapy
Clinical Social Worker · Champaign, IL
Practice location
2507 Curtis Rd
Champaign, IL 61822-9630
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 149015301 (IL) |
| Marriage & Family Therapist | 106H00000X | 166000861 (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 1235533506
Life Bridge Therapy's National Provider Identifier is 1235533506, issued on Oct 15, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Champaign, IL. The record was last updated on Oct 15, 2014.