Individual provider · Type 1 NPI

Kimberly Forristall, LCSW

Clinical Social Worker · La Salle, IL

NPI number 1336296649 Active

Practice location

2960 Chartres St
La Salle, IL 61301-1097

Call (815) 224-1610 Map

Fax (815) 223-1634

Mailing address

PO Box 1488, 2960 Chartres Street
La Salle, IL 61301-3488

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 1336296649

Kimberly Forristall, LCSW's National Provider Identifier is 1336296649, issued on Jan 5, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in La Salle, IL. The record was last updated on Jul 8, 2007.