Individual provider · Type 1 NPI

Phyllis Ferguson Collum, LCSW

Clinical Social Worker · Dolton, IL

NPI number 1902202054 Active

Practice location

15539 Dobson Ave
Dolton, IL 60419-2708

Fax (773) 654-3875

Other practice locations

  • 9550 W 167th St Ste 100, Orland Park, IL 60467-5561 · (708) 478-3960

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X149015907 (IL)
Professional Counselor 101YP2500X149015907 (IL)
Clinical Social Worker Primary 1041C0700X149015907 (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 1902202054

Phyllis Ferguson Collum, LCSW's National Provider Identifier is 1902202054, issued on Nov 17, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Dolton, IL. The record was last updated on Apr 4, 2024.