Individual provider · Type 1 NPI

Jenna Rose Forrest Mangold, LCSW

Clinical Social Worker · Normal, IL

NPI number 1497983613 Active

Practice location

706 Oglesby Ave, Suite 300
Normal, IL 61761-4616

Call (309) 826-5806 Map

Mailing address

3606 Como Ct
Normal, IL 61761-9678

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149015289 (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 1497983613

Jenna Rose Forrest Mangold, LCSW's National Provider Identifier is 1497983613, issued on Jun 25, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Normal, IL. The record was last updated on Oct 3, 2016.