Individual provider · Type 1 NPI

Ethan Palmquist, LCSW

Clinical Social Worker · St. Charles, IL

NPI number 1629704952 Active

Practice location

110 S 19th St
St. Charles, IL 60174-1509

Other practice locations

  • 27W350 High Lake Rd, Winfield, IL 60190-1262 · (630) 933-7360

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
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 1629704952

Ethan Palmquist, LCSW's National Provider Identifier is 1629704952, issued on Jul 28, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Charles, IL. The record was last updated on Sep 16, 2025.