Individual provider · Type 1 NPI

Fred R. McKenzie, PH.D. LCSW

Clinical Social Worker · St. Charles, IL

NPI number 1316076599 Active

Practice location

237 Grand Ridge Rd
St. Charles, IL 60175-1074

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 1316076599

Fred R. McKenzie, PH.D. LCSW's National Provider Identifier is 1316076599, issued on Mar 5, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Charles, IL. The record was last updated on Jul 8, 2007.