Organization · Type 2 NPI

Optum Behavioral Care Therapy Services of Illinois PC

Clinical Social Worker · Rockford, IL

NPI number 1780579797 Active

Practice location

6392 Linden Rd
Rockford, IL 61109-2816

Mailing address

1 Optum Cir
Eden Prairie, MN 55344-2956

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone 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 1780579797

Optum Behavioral Care Therapy Services of Illinois PC's National Provider Identifier is 1780579797, issued on Jun 10, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rockford, IL. The record was last updated on Feb 15, 2026.