Individual provider · Type 1 NPI

Tirza Lael Wolf

Clinical Social Worker · Bloomington, IL

NPI number 1811180987 Active

Practice location

108 W Market St
Bloomington, IL 61701-3918

Fax (309) 829-6808

Mailing address

1101 Ogelthorpe Ave
Normal, IL 61761-5762

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 1811180987

Tirza Lael Wolf's National Provider Identifier is 1811180987, issued on Aug 22, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bloomington, IL. The record was last updated on Aug 22, 2007.