Individual provider · Type 1 NPI
Paula Renee Dykstra, LCSW
Clinical Social Worker · Bradley, IL
Practice location
555 E North St, Suite D
Bradley, IL 60915-1226
Mailing address
1512 Caddie Dr
Bourbonnais, IL 60914-5119
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 149.013792 (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.