Individual provider · Type 1 NPI
Maya Elrose Durfee O'Brien
Clinical Social Worker · Bismarck, IL
Practice location
204 S Chicago Ave
Bismarck, IL 61814-5175
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | 149030448 (IL) |
| School Social Worker | 1041S0200X | 149030448 (IL) |
| Clinical Social Worker Primary | 1041C0700X | 149.030448 (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…
About NPI 1497617260
Maya Elrose Durfee O'Brien's National Provider Identifier is 1497617260, issued on Dec 1, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bismarck, IL. The record was last updated on Aug 3, 2026.