Organization · Type 2 NPI

Dynamic Counseling and Consultation Services

Clinical Social Worker · Mount Vernon, IL

NPI number 1457771677 Active

Practice location

4202 Williamson Pl Ste 1
Mount Vernon, IL 62864-6760

Fax (800) 335-4761

Mailing address

1111 S Lincoln Ave Unit 1326
O Fallon, IL 62269-5165

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X2003032196 (MO)

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 1457771677

Dynamic Counseling and Consultation Services's National Provider Identifier is 1457771677, issued on Apr 27, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mount Vernon, IL. The record was last updated on Jan 27, 2025.