Individual provider · Type 1 NPI

Kathryn Ellen Davis, LCSW

Clinical Social Worker · Marion, IL

NPI number 1578740510 Active

Practice location

3111 Williamson County Pkwy
Marion, IL 62959-5235

Call (618) 997-3647 Map

Fax (618) 969-9437

Mailing address

909 S Russell St
Marion, IL 62959-1544

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149.013758 (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 1578740510

Kathryn Ellen Davis, LCSW's National Provider Identifier is 1578740510, issued on Jan 22, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Marion, IL. The record was last updated on Aug 20, 2009.