Individual provider · Type 1 NPI

Rose Marie Havens, MSW LCSW

Clinical Social Worker · Rockford, IL

NPI number 1609889013 Active

Practice location

4940 E State St, Suite 3
Rockford, IL 61108-2270

Call (815) 227-0081 Map

Fax (815) 387-5316

Mailing address

4045 Oaklane Rd
Rockford, IL 61109-4775

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 1609889013

Rose Marie Havens, MSW LCSW's National Provider Identifier is 1609889013, issued on Aug 15, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rockford, IL. The record was last updated on Jul 8, 2007.