Individual provider · Type 1 NPI

Michael Anton Terry, LCSW, LISW

Clinical Social Worker · Moline, IL

NPI number 1891331872 Active

Practice location

524 15th St
Moline, IL 61265-2151

Call (309) 736-7170 Map

Fax (309) 736-7150

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X007851 (IA)
Clinical Social Worker Primary 1041C0700X149.011688 (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 1891331872

Michael Anton Terry, LCSW, LISW's National Provider Identifier is 1891331872, issued on Nov 25, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Moline, IL. The record was last updated on Nov 25, 2019.