Individual provider · Type 1 NPI

Melissa A. Mitsdarffer, LCSW

Clinical Social Worker · Du Quoin, IL

NPI number 1891094496 Active

Practice location

1016 S Madison St, Suite A
Du Quoin, IL 62832-2442

Call (618) 542-4357 Map

Fax (618) 542-3442

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149014583 (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 1891094496

Melissa A. Mitsdarffer, LCSW's National Provider Identifier is 1891094496, issued on Mar 22, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Du Quoin, IL. The record was last updated on Mar 22, 2011.