Individual provider · Type 1 NPI

Terry Stambaugh, LCSW

Clinical Social Worker · Moline, IL

NPI number 1417317066 Active

Practice location

4600 3rd St
Moline, IL 61265-6106

Mailing address

1829 4th Ave Apt 406
Rock Island, IL 61201-8155

Other practice locations

  • 2326 16th St, Moline, IL 61265-4824 · (309) 793-7993

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149018309 (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 1417317066

Terry Stambaugh, LCSW's National Provider Identifier is 1417317066, issued on Feb 24, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Moline, IL. The record was last updated on Mar 17, 2018.