Individual provider · Type 1 NPI

Kristin Kirk, LCSW

Clinical Social Worker · Peoria, IL

NPI number 1881913705 Active

Practice location

2001 W Willow Knolls Dr Ste 110
Peoria, IL 61614-1262

Mailing address

75 E Queenwood Rd
Morton, IL 61550-2985

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149.012220 (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 1881913705

Kristin Kirk, LCSW's National Provider Identifier is 1881913705, issued on May 18, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Peoria, IL. The record was last updated on May 18, 2010.