Individual provider · Type 1 NPI

Eileen Martha Liezert, LCSW

Clinical Social Worker · Rockford, IL

NPI number 1386007276 Active

Practice location

210 N Longwood St
Rockford, IL 61107-4134

Call (815) 962-5585 Map

Fax (815) 962-8945

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149.001045 (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 1386007276

Eileen Martha Liezert, LCSW's National Provider Identifier is 1386007276, issued on Mar 30, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rockford, IL. The record was last updated on Mar 30, 2016.