Individual provider · Type 1 NPI

Madonna Elizabeth Gannon, LCSW

Clinical Social Worker · Aurora, IL

NPI number 1568583243 Active

Practice location

70 S River St
Aurora, IL 60506-5295

Fax (630) 844-3084

Mailing address

836 S Julian St
Naperville, IL 60540-6714

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149011094 (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 1568583243

Madonna Elizabeth Gannon, LCSW's National Provider Identifier is 1568583243, issued on Apr 2, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Aurora, IL. The record was last updated on Mar 10, 2009.