Individual provider · Type 1 NPI

Jennifer Marie Carlock, LCSW

Clinical Social Worker · Bloomington, IL

NPI number 1437876828 Active

Practice location

702 W Chestnut St
Bloomington, IL 61701-2814

Mailing address

448 Wylie Dr
Normal, IL 61761-5405

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149.013728 (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 1437876828

Jennifer Marie Carlock, LCSW's National Provider Identifier is 1437876828, issued on Oct 26, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bloomington, IL. The record was last updated on Oct 26, 2022.