Individual provider · Type 1 NPI

Kelly Larosa, LCSW

Clinical Social Worker · Springfield, IL

NPI number 1255303830 Active

Practice location

5850 S 6th Street Rd, A
Springfield, IL 62703-5162

Fax (217) 529-6154

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149001132 (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 1255303830

Kelly Larosa, LCSW's National Provider Identifier is 1255303830, issued on Feb 7, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Springfield, IL. The record was last updated on Apr 16, 2013.