Organization · Type 2 NPI

Maydai Trauma Focused Clinical Network and Research Center LLC

Clinical Social Worker · East St. Louis, IL

NPI number 1659047744 Active

Practice location

4601 State St Ste 220
East St. Louis, IL 62205-1359

Mailing address

3144 Virginia Pl
East St. Louis, IL 62207-1759

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Clinical Psychologist 103TC0700XNone listed
Clinical Child & Adolescent Psychologist 103TC2200XNone listed
Group Psychotherapy Psychologist 103TP2701XNone listed
Clinical Social Worker Primary 1041C0700XNone listed
Marriage & Family Therapist 106H00000XNone listed
Pediatric Registered Nurse 163WP0200XNone listed
Child & Adolescent Psychiatry Physician 2084P0804XNone listed
Adolescent and Children Mental Health Clinic/Center 261QM0855XNone listed
Prevention Professional 405300000XNone 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 1659047744

Maydai Trauma Focused Clinical Network and Research Center LLC's National Provider Identifier is 1659047744, issued on Aug 18, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in East St. Louis, IL. The record was last updated on Oct 29, 2021.