Individual provider · Type 1 NPI

Diana Brandt

Clinical Social Worker · Pontiac, IL

NPI number 1992539217 Active

Practice location

1300 4H Park Rd
Pontiac, IL 61764-9106

Mailing address

3311 Kirkwood Rd
Bloomington, IL 61704-8284

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149.006709 (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 1992539217

Diana Brandt's National Provider Identifier is 1992539217, issued on Aug 28, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Pontiac, IL. The record was last updated on Aug 28, 2024.