Individual provider · Type 1 NPI

Darla Jean Innis, MSW, LSW

Clinical Social Worker · Antioch, IL

NPI number 1245092584 Active

Practice location

884 Hillside Ave
Antioch, IL 60002-1226

Call (309) 287-7050 Map

Mailing address

N2808 Walden Ln
Lake Geneva, WI 53147-3441

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X149.041925 (IL)
Social Worker 104100000X134714 (WI)
Clinical Social Worker Primary 1041C0700X12980-123 (WI)

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 1245092584

Darla Jean Innis, MSW, LSW's National Provider Identifier is 1245092584, issued on Jan 23, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Antioch, IL. The record was last updated on Oct 21, 2026.