Individual provider · Type 1 NPI

Mary Earle, LCSW

Clinical Social Worker · Rockford, IL

NPI number 1689442519 Active

Practice location

695 N Perryville Rd Ste 4
Rockford, IL 61107-6225

Fax (815) 977-4892

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X150107991 (IL)
Clinical Social Worker Primary 1041C0700X149028792 (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 1689442519

Mary Earle, LCSW's National Provider Identifier is 1689442519, issued on Dec 20, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rockford, IL. The record was last updated on Jun 13, 2025.