Individual provider · Type 1 NPI
Lauren D. Boucek, LCSW
Clinical Social Worker · Champaign, IL
Practice location
1813 W. Kirby Ave
Champaign, IL 61821-5410
Fax (217) 383-3439
Mailing address
611 W. Park St., Bwpc
Urbana, IL 61801-2500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | 23179 (CA) |
| Clinical Social Worker Primary | 1041C0700X | 149016829 (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 1487719191
Lauren D. Boucek, LCSW's National Provider Identifier is 1487719191, issued on Dec 22, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Champaign, IL. The record was last updated on Nov 7, 2014.