Individual provider · Type 1 NPI

Washington Cisco, LCSW

Clinical Social Worker · Centralia, IL

NPI number 1457698912 Active

Practice location

2870 E Jefferson St
Centralia, IL 62801-8530

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149.005632 (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 1457698912

Washington Cisco, LCSW's National Provider Identifier is 1457698912, issued on Jan 3, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Centralia, IL. The record was last updated on Jan 3, 2013.