Individual provider · Type 1 NPI

Jill Larson, M.S.W.

Clinical Social Worker · Peoria, IL

NPI number 1669503587 Active

Practice location

7617 N Villa Wood Ln
Peoria, IL 61614-1588

Other practice locations

  • PO Box 746878, Atlanta, GA 30374-6878 · (323) 205-7088

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149012594 (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 1669503587

Jill Larson, M.S.W.'s National Provider Identifier is 1669503587, issued on Mar 9, 2007. 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 6, 2025.