Organization · Type 2 NPI

Revive Therapy and Wellness LLC

Clinical Social Worker · Belvidere, IL

NPI number 1780446476 Active

Practice location

1818 Logan Ave
Belvidere, IL 61008-6412

Fax (815) 534-1437

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed
Chiropractor 111N00000XNone listed

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 1780446476

Revive Therapy and Wellness LLC's National Provider Identifier is 1780446476, issued on Jan 29, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Belvidere, IL. The record was last updated on Apr 28, 2026.