Individual provider · Type 1 NPI

Laura M. Provancal, LCSW

Clinical Social Worker · Naperville, IL

NPI number 1336657170 Active

Practice location

2272 95th St Ste 125
Naperville, IL 60564-8982

Fax (630) 409-9444

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149019272 (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 1336657170

Laura M. Provancal, LCSW's National Provider Identifier is 1336657170, issued on Jan 15, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Naperville, IL. The record was last updated on Jan 15, 2018.