Individual provider · Type 1 NPI

Tera Marie Miatke

Clinical Social Worker · Bloomington, IL

NPI number 1669641361 Active

Practice location

108 W Market St
Bloomington, IL 61701-3918

Call (309) 827-5351 Map

Fax (309) 829-6808

Mailing address

3230 Turquois Way
Normal, IL 61761-9390

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone 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 1669641361

Tera Marie Miatke's National Provider Identifier is 1669641361, issued on Feb 27, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bloomington, IL. The record was last updated on Mar 14, 2008.