Individual provider · Type 1 NPI

James Kenton Mattox, LCSW

Clinical Social Worker · Marion, IL

NPI number 1952509531 Active

Practice location

1410 W Chestnut St
Marion, IL 62959-1910

Fax (618) 997-7972

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149-002548 (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 1952509531

James Kenton Mattox, LCSW's National Provider Identifier is 1952509531, issued on Jul 5, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Marion, IL. The record was last updated on Jul 8, 2007.