Individual provider · Type 1 NPI

Chester A. Carothers Jr., L.C.S.W.

Clinical Social Worker · Fairview Heights, IL

NPI number 1265808612 Active

Practice location

10314 Lincoln Trl Ste 106
Fairview Heights, IL 62208-1801

Call (618) 875-9355 Map

Fax (630) 425-8900

Mailing address

PO Box 6152
East St. Louis, IL 62202-6152

Other practice locations

  • 1435 Market Ave, East St. Louis, IL 62201-1811 · (618) 875-9355

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149.017330 (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 1265808612

Chester A. Carothers Jr., L.C.S.W.'s National Provider Identifier is 1265808612, issued on Aug 19, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fairview Heights, IL. The record was last updated on Aug 25, 2020.