Individual provider · Type 1 NPI

Mackenzie R. Pherigo, LCSW, CADC

Clinical Social Worker · Maryville, IL

NPI number 1801002142 Active

Practice location

2148 Vadalabene Dr
Maryville, IL 62062-5632

Call (618) 288-3100 Map

Fax (618) 288-3371

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X150.009882 (IL)
Clinical Social Worker Primary 1041C0700X149.013008 (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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About NPI 1801002142

Mackenzie R. Pherigo, LCSW, CADC's National Provider Identifier is 1801002142, issued on May 15, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Maryville, IL. The record was last updated on Jun 18, 2008.