Individual provider · Type 1 NPI

Courtney L. Hupp

Clinical Social Worker · Maryville, IL

NPI number 1750719142 Active

Practice location

2148 Vadalabene Dr
Maryville, IL 62062-5632

Call (618) 205-8111 Map

Mailing address

560 Berkshire Dr
Troy, IL 62294-1288

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X25430 (IL)
Clinical Social Worker 1041C0700X149010943 (IL)
Clinical Social Worker Primary 1041C0700X149.010943

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 1750719142

Courtney L. Hupp's National Provider Identifier is 1750719142, issued on Oct 22, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Maryville, IL. The record was last updated on Dec 3, 2019.