Individual provider · Type 1 NPI

Douglas Eugene Mitchem

Clinical Social Worker · Rock Falls, IL

NPI number 1609012707 Active

Practice location

1600 Riverdale Rd Lot 42
Rock Falls, IL 61071-2450

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 1609012707

Douglas Eugene Mitchem's National Provider Identifier is 1609012707, issued on Dec 20, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rock Falls, IL. The record was last updated on Dec 20, 2008.