Individual provider · Type 1 NPI

Ian Hulette, LSW

Clinical Social Worker · Champaign, IL

NPI number 1679357420 Active

Practice location

510 S Elm St Apt 3
Champaign, IL 61820-5085

Mailing address

47 Great Horned Dr
Oxford, OH 45056-3522

Other practice locations

  • 2704 Boulder Dr Ste B, Urbana, IL 61802-7832 · (217) 607-1678

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XI.2608645 (OH)
Clinical Social Worker Primary 1041C0700X149.041470 (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 1679357420

Ian Hulette, LSW's National Provider Identifier is 1679357420, issued on Aug 22, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Champaign, IL. The record was last updated on Aug 24, 2026.