Individual provider · Type 1 NPI

Brian Keith Willis Jr., LCSW

Clinical Social Worker · Matteson, IL

NPI number 1407597412 Active

Practice location

3415 Station Dr
Matteson, IL 60443-2665

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149.022160 (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 1407597412

Brian Keith Willis Jr., LCSW's National Provider Identifier is 1407597412, issued on Apr 5, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Matteson, IL. The record was last updated on Apr 5, 2022.