Individual provider · Type 1 NPI

Theresa Eytalis, L.C.S.W.

Clinical Social Worker · Carbondale, IL

NPI number 1851426233 Active

Practice location

1400 W Main St, Suite 14
Carbondale, IL 62901-2276

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 1851426233

Theresa Eytalis, L.C.S.W.'s National Provider Identifier is 1851426233, issued on Feb 23, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Carbondale, IL. The record was last updated on Jul 8, 2007.