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Viengkeo Chanthaloth- Phasouk, LCSW
Clinical Social Worker in Rockford, Illinois
NPI 1366920811

Viengkeo Chanthaloth- Phasouk is a Clinical Social Worker based in Rockford, IL and is specialized in Clinical. Viengkeo Chanthaloth- Phasouk practices in Rockford, IL and has the professional credentials of LCSW. The NPI Number for Viengkeo Chanthaloth- Phasouk is 1366920811 and holds a License No. (Illinois).

The current practice location address for Viengkeo Chanthaloth- Phasouk is 2704 N Main St, Rockford, IL and can be reached out via phone at 815-391-1000 and via fax at 815-815-7204.

Location: 2704 N Main St, Rockford, IL, 61107-3877
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366920811
Provider Name
Viengkeo Chanthaloth- Phasouk
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
2704 N Main St, Rockford, IL, 61107-3877
Phone Number
815-391-1000
Fax Number
815-815-7204
Provider Enumeration Date
08/06/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2704 N Main St
City
Rockford
State
Illinois
Zip
61103-3112
Phone Number
815-391-1000
Fax Number
815-815-7204
person
Provider Business Mailing Address Details
Address
2704 N Main St
City
Rockford
State
Illinois
Zip
61103-3112
Phone Number
815-391-1000
Fax Number
815-815-7204
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
149.022418 (Illinois)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
()
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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