Individual provider · Type 1 NPI

Gary Lee Hyatt Ii

Clinical Social Worker · Champaign, IL

NPI number 1780969436 Active

Practice location

202 W Park Ave
Champaign, IL 61820-3929

Call (217) 373-2430 Map

Mailing address

406 N Randolph St, #201
Champaign, IL 61820-8616

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 1780969436

Gary Lee Hyatt Ii's National Provider Identifier is 1780969436, issued on Oct 13, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Champaign, IL. The record was last updated on Oct 13, 2011.