Individual provider · Type 1 NPI

Heather Lisa Ilconich, LCSW

Clinical Social Worker · Marlton, NJ

NPI number 1689414476 Active

Practice location

30 S Maple Ave
Marlton, NJ 08053-2002

Mailing address

110 Mountainview Rd
Mount Laurel, NJ 08054-4729

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X44SC05275300 (NJ)

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 1689414476

Heather Lisa Ilconich, LCSW's National Provider Identifier is 1689414476, issued on May 29, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Marlton, NJ. The record was last updated on May 29, 2024.