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FOREST CITY COUNSELING LLC NPI 1164075990


NPI Information

NPI: 1164075990
Provider Name: FOREST CITY COUNSELING, LLC
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
6735 VISTAGREEN WAY STE 210
ROCKFORD, IL
ZIP 61107
Phone: (815) 391-3055
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FOREST CITY COUNSELING, LLC is a clinical social worker in Rockford, 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. FOREST CITY COUNSELING, LLC NPI is 1164075990. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6735 VISTAGREEN WAY STE 210
ROCKFORD, IL
ZIP 61107-654
Phone: (815) 391-3055
Fax: (815) 904-6419

The provider's authorized official is Jan M Selander .
The authorized official title is Lcsw and has the following contact phone number (815) 520-6972.

The enumeration date for this NPI number is 7/21/2019 and was last updated on 4/20/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YP2500XCounselorProfessionalNo
2251B00000XCase ManagementNo
31041C0700XSocial 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: 4/28/2024

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