Organization · Type 2 NPI

Gateway Family Services of Illinois

Clinical Social Worker · Potomac, IL

NPI number 1487152344 Active

Practice location

7757 US Route 136
Potomac, IL 61865-3047

Fax (217) 987-6386

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X180009566 (IL)
Professional Counselor 101YP2500X180009566 (IL)
Clinical Social Worker Primary 1041C0700X58515 (TX)
Adult Mental Health Clinic/Center 261QM0850XNone listed
Adolescent and Children Mental Health Clinic/Center 261QM0855XNone 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…

5 other providers at this address

About NPI 1487152344

Gateway Family Services of Illinois's National Provider Identifier is 1487152344, issued on Jan 25, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Potomac, IL. The record was last updated on Jun 2, 2020.