Organization · Type 2 NPI

Shoreline Therapy PLLC

Clinical Social Worker · Bloomington, IL

NPI number 1457052508 Active

Practice location

3 Carraway Ct
Bloomington, IL 61704-2313

Mailing address

2005 N Prospect Ave # 1125
Champaign, IL 61822-1235

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 1457052508

Shoreline Therapy PLLC's National Provider Identifier is 1457052508, issued on Mar 15, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bloomington, IL. The record was last updated on Mar 15, 2023.