Organization · Type 2 NPI

Obsidian Behavioral Health PLLC

Clinical Social Worker · St. Charles, IL

NPI number 1841873577 Active

Practice location

103 N 11th Ave Ste 106
St. Charles, IL 60174-2278

Fax (630) 296-9921

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Social Worker 104100000XNone listed
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 1841873577

Obsidian Behavioral Health PLLC's National Provider Identifier is 1841873577, issued on Apr 30, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Charles, IL. The record was last updated on Oct 21, 2025.