Individual provider · Type 1 NPI

Athena Lorene Secrest

Clinical Social Worker · Lake Bluff, IL

NPI number 1376300798 Active

Practice location

917 Sherwood Dr Ste 104
Lake Bluff, IL 60044-2234

Mailing address

1836 Linden Ave
Waukegan, IL 60087-4957

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
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 1376300798

Athena Lorene Secrest's National Provider Identifier is 1376300798, issued on Mar 1, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lake Bluff, IL. The record was last updated on Mar 1, 2024.