Individual provider · Type 1 NPI

Diane Bracamontes, LCSW

Clinical Social Worker · Maryville, IL

NPI number 1306089974 Active

Practice location

2016 Vadalabene Dr Ste A
Maryville, IL 62062-6901

Fax (618) 551-8456

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149013539 (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 1306089974

Diane Bracamontes, LCSW's National Provider Identifier is 1306089974, issued on Apr 13, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Maryville, IL. The record was last updated on Mar 8, 2016.