Organization · Type 2 NPI

Optum Behavioral Care Therapy Services of Illinois PC

Clinical Social Worker · Rockford, IL

NPI number 1235949553 Active

Practice location

6392 Linden Rd
Rockford, IL 61109-2816

Call (779) 368-0060 Map

Fax (779) 368-0579

Other practice locations

  • 4753 N Broadway St Ste 403, Chicago, IL 60640-7910 · (779) 368-0060
  • 695 N Perryville Rd Ste 4, Rockford, IL 61107-6225 · (779) 368-0060
  • 820 Davis St Ste 222, Evanston, IL 60201-4445 · (779) 368-0060
  • 12151 Regency Pkwy Ste 12189, Huntley, IL 60142-7644 · (779) 368-0060

Specialties and licenses

TaxonomyCodeLicense
Psychologist 103T00000XNone listed
Clinical Social Worker Primary 1041C0700XNone listed

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 1235949553

Optum Behavioral Care Therapy Services of Illinois PC's National Provider Identifier is 1235949553, issued on Jan 9, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rockford, IL. The record was last updated on Mar 7, 2025.