Individual provider · Type 1 NPI

Karen L. Short, LCSW

Clinical Social Worker · Rockford, IL

NPI number 1588047690 Active

Practice location

2400 N Rockton Ave, Palliative Care
Rockford, IL 61103-3655

Call (815) 971-5000 Map

Mailing address

4476 Hilltop Dr
Loves Park, IL 61111-8614

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149.012259 (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 1588047690

Karen L. Short, LCSW's National Provider Identifier is 1588047690, issued on Jul 7, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rockford, IL. The record was last updated on Aug 11, 2015.