Individual provider · Type 1 NPI
Phyllis Nelson, LCSW
Clinical Social Worker · Channahon, IL
Practice location
23057 W Andrew Ave
Channahon, IL 60410-3033
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 149013665 (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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- Tedd W. McCauley, MSSAClinical Social Worker Channahon, IL NPI 1295840650
- Kristine Bukala, LCSWClinical Social Worker Channahon, IL NPI 1336679455
- Lindsey Craven, LCSWClinical Social Worker Channahon, IL NPI 1558744078
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About NPI 1710528138
Phyllis Nelson, LCSW's National Provider Identifier is 1710528138, issued on Oct 7, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Channahon, IL. The record was last updated on Oct 7, 2019.