Individual provider · Type 1 NPI

Ashley C. Cornell

Clinical Social Worker · Rockford, IL

NPI number 1497589907 Active

Practice location

4833 Manhattan Dr
Rockford, IL 61108-2265

Call (815) 520-2303 Map

Fax (866) 516-7056

Mailing address

11249 Havenswood Rd
Roscoe, IL 61073-9128

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	None listed
Social Worker	104100000X	150.114092 (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 1497589907

Ashley C. Cornell's National Provider Identifier is 1497589907, issued on Aug 27, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rockford, IL. The record was last updated on Dec 10, 2024.