Organization · Type 2 NPI

Interwoven Roots PLLC

Clinical Social Worker · Champaign, IL

NPI number 1396676367 Active

Practice location

206 N Randolph St Ste 432
Champaign, IL 61820-3978

Mailing address

1008 S Wabash Ave
Urbana, IL 61801-5216

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 1396676367

Interwoven Roots PLLC's National Provider Identifier is 1396676367, issued on May 27, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Champaign, IL. The record was last updated on May 27, 2026.