Individual provider · Type 1 NPI

Selden Dunbar Illick, LCSW

Clinical Social Worker · Pennington, NJ

NPI number 1295872059 Active

Practice location

100 Straube Center Blvd, Box H1
Pennington, NJ 08534-1447

Call (609) 737-7797 Map

Fax (609) 737-7499

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X44SC00669000 (NJ)

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 1295872059

Selden Dunbar Illick, LCSW's National Provider Identifier is 1295872059, issued on Jan 31, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Pennington, NJ. The record was last updated on Jul 8, 2007.