Individual provider · Type 1 NPI

Ricky Spain Jr.

Clinical Social Worker · Wheaton, IL

NPI number 1801314307 Active

Practice location

111 N County Farm Rd
Wheaton, IL 60187

Call (630) 682-7400 Map

Mailing address

312 Cascade Ln
Oswego, IL 60543-7339

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed
Mental Health Counselor 101YM0800XNone 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 1801314307

Ricky Spain Jr.'s National Provider Identifier is 1801314307, issued on Sep 5, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wheaton, IL. The record was last updated on Dec 22, 2021.