Individual provider · Type 1 NPI
Katherine Puckett, PhD, LCSW
Clinical Social Worker · Zion, IL
Practice location
2520 Elisha Ave
Zion, IL 60099-2676
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 149.007061 (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 1982052379
Katherine Puckett, PhD, LCSW's National Provider Identifier is 1982052379, issued on May 26, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Zion, IL. The record was last updated on May 26, 2016.