Individual provider · Type 1 NPI

Cynthia Shuckford

Clinical Social Worker · Peoria, IL

NPI number 1639759814 Active

Practice location

8914 N Prairie Pointe Rd
Peoria, IL 61615-1574

Mailing address

1905 Fieldstone
Washington, IL 61571-2191

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149.013398 (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 1639759814

Cynthia Shuckford's National Provider Identifier is 1639759814, issued on Apr 12, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Peoria, IL. The record was last updated on Apr 12, 2021.