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SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP NPI 1053002907


NPI Information

NPI: 1053002907
Provider Name: SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP

Doing Business As: SHAWNEE HEALTH SOCIAL SERVICES

Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
6355 BRANDHORST RD
CARTERVILLE, IL
ZIP 62918
Phone: (618) 519-9200
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SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP is a clinical social worker in Carterville, IL. The provider is 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP NPI is 1053002907. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Shawnee Health Social Services.

The provider's business location address is:

6355 BRANDHORST RD
CARTERVILLE, IL
ZIP 62918-322
Phone: (618) 519-9200
Fax: (618) 985-9096

The provider's authorized official is Christina Carney .
The authorized official title is Ceo and has the following contact phone number (618) 956-9521.

The enumeration date for this NPI number is 5/19/2023 and was last updated on 4/5/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthNo
21041C0700XSocial WorkerClinicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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