Individual provider · Type 1 NPI

Crystal Liedtke, LCSW

Clinical Social Worker · Marion, IL

NPI number 1639654858 Active

Practice location

3403 Heartland St
Marion, IL 62959-6393

Call (618) 997-5311 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149020496 (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 1639654858

Crystal Liedtke, LCSW's National Provider Identifier is 1639654858, issued on Oct 3, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Marion, IL. The record was last updated on Oct 3, 2018.