Individual provider · Type 1 NPI

Mary Gubbe Lee, LSW

Clinical Social Worker · Rockford, IL

NPI number 1295815173 Active

Practice location

Janet Wattles Center, 526 W State St
Rockford, IL 61101-1214

Fax (815) 968-5314

Mailing address

526 W State Street
Rockford, IL 61101-1214

Specialties and licenses

TaxonomyCodeLicense
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 1295815173

Mary Gubbe Lee, LSW's National Provider Identifier is 1295815173, issued on Oct 16, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rockford, IL. The record was last updated on Jul 8, 2007.