Individual provider · Type 1 NPI

Paula Renee Dykstra, LCSW

Clinical Social Worker · Bradley, IL

NPI number 1972859981 Active

Practice location

555 E North St, Suite D
Bradley, IL 60915-1226

Mailing address

1512 Caddie Dr
Bourbonnais, IL 60914-5119

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149.013792 (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 1972859981

Paula Renee Dykstra, LCSW's National Provider Identifier is 1972859981, issued on Jul 27, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bradley, IL. The record was last updated on Jul 27, 2012.