Individual provider · Type 1 NPI

Thomas Richard Radford Jr., LSW

Clinical Social Worker · Peoria, IL

NPI number 1962384008 Active

Practice location

7625 N University St Ste B1
Peoria, IL 61614-8304

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Clinical Social Worker Primary 1041C0700X150.129047 (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 1962384008

Thomas Richard Radford Jr., LSW's National Provider Identifier is 1962384008, issued on Jul 21, 2025. 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, 2026.