Individual provider · Type 1 NPI

Nicole Marie Busch I

Clinical Social Worker · Champaign, IL

NPI number 1437470879 Active

Practice location

2101 Fox Dr Ste 102
Champaign, IL 61820-8195

Fax (217) 403-9557

Other practice locations

  • 202 W Park Ave, Champaign, IL 61820-3929 · (217) 378-2213

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 1437470879

Nicole Marie Busch I's National Provider Identifier is 1437470879, issued on Jun 21, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Champaign, IL. The record was last updated on Feb 25, 2025.