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Ian Victor Provo
Clinical Social Worker in Rockford, Illinois
NPI 1235614124

Ian Victor Provo is a Clinical Social Worker based in Rockford, IL and is specialized in Clinical. Ian Victor Provo practices in Rockford, IL. The NPI Number for Ian Victor Provo is 1235614124 and holds a License No. 149006049 (Illinois).

The current practice location address for Ian Victor Provo is 1126 Post Dr, Rockford, IL and can be reached out via phone at 815-229-3738.

Location: 1126 Post Dr, Rockford, IL, 61108-4251
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235614124
Provider Name
Ian Victor Provo
Credential
Provider Entity Type
Individual
Gender
Male
Address
1126 Post Dr, Rockford, IL, 61108-4251
Phone Number
815-229-3738
Fax Number
Provider Enumeration Date
09/26/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1126 Post Dr
City
Rockford
State
Illinois
Zip
61108-4251
Phone Number
815-229-3738
Fax Number
person
Provider Business Mailing Address Details
Address
1126 Post Dr
City
Rockford
State
Illinois
Zip
61108-4251
Phone Number
815-229-3738
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
149006049 (Illinois)
Definition
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.
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