Individual provider · Type 1 NPI

Tara Lynn Hartley, LCSW

Clinical Social Worker · Carterville, IL

NPI number 1639718612 Active

Practice location

1400 Pin Oak Dr
Carterville, IL 62918-1600

Call (618) 985-3333 Map

Fax (618) 985-1307

Mailing address

PO Box 3988
Carbondale, IL 62902-3988

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149.021785 (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 1639718612

Tara Lynn Hartley, LCSW's National Provider Identifier is 1639718612, issued on Dec 23, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Carterville, IL. The record was last updated on Sep 19, 2023.