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RESTORE COUNSELING & RECOVERY INC. NPI 1588909923


NPI Information

NPI: 1588909923
Provider Name: RESTORE COUNSELING & RECOVERY, INC.
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
7399 FOREST HILLS RD
LOVES PARK, IL
ZIP 61111
Phone: (815) 708-7392
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RESTORE COUNSELING & RECOVERY, INC. is a clinical social worker in Loves Park, 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. RESTORE COUNSELING & RECOVERY, INC. NPI is 1588909923. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7399 FOREST HILLS RD
LOVES PARK, IL
ZIP 61111-974
Phone: (815) 708-7392
Fax: (815) 708-8248

The provider's authorized official is Thomas G Mlodzik .
The authorized official title is Ceo and has the following contact phone number (414) 324-9332.

The enumeration date for this NPI number is 12/11/2012 and was last updated on 8/18/2023.


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
1101YA0400XCounselorAddiction (Substance Use Disorder)27402ILLINOISNo
2106H00000XMarriage & Family Therapist166000729ILLINOISNo
31041C0700XSocial WorkerClinical149012902ILLINOISYes

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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