Individual provider · Type 1 NPI

Mary C. Bruell, LCSW

Clinical Social Worker · Peoria, IL

NPI number 1659345007 Active

Practice location

Dept Of Psychiatry, 221 NE Glen Oak 7 West
Peoria, IL 61636-0001

Mailing address

1 Illini Dr
Peoria, IL 61605-2576

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149008927 (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 1659345007

Mary C. Bruell, LCSW's National Provider Identifier is 1659345007, issued on Feb 14, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Peoria, IL. The record was last updated on Nov 25, 2009.