Organization · Type 2 NPI

Mind Body Integrative Counseling PLLC

Clinical Social Worker · Macomb, IL

NPI number 1538070115 Active

Practice location

17385 N 1100th Rd
Macomb, IL 61455-8839

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone 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…

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About NPI 1538070115

Mind Body Integrative Counseling PLLC's National Provider Identifier is 1538070115, issued on Sep 14, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Macomb, IL. The record was last updated on Sep 14, 2026.