FORTITUDE TRAILS COUNSELING
NPI 1295327575
Social Worker - Clinical in Swansea, IL

Active since February 08, 2021
4460 N ILLINOIS ST STE 1, SWANSEA, IL 62226(618) 277-7570 Get Directions Write a Review

NPPES record last updated: November 28, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 1, 2021, Feb 11, 2021 (2 updates tracked since 2021).

About Fortitude Trails Counseling NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FORTITUDE TRAILS COUNSELING (NPI 1295327575) is a healthcare organization registered as a clinical in Swansea, Illinois and active in the NPI registry since February 2021. The organization maintains a secondary practice location in Maryville and lists Lisa M Fox, Owner, as its authorized official.

NPPES Registry Identity

NPI1295327575
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameFORTITUDE TRAILS COUNSELING
Location Address4460 N ILLINOIS ST STE 1Swansea, IL 62226-1899
Mailing Address2921 Maryville Rd Ste BMaryville, IL 62062-5400 · (618) 484-9337 · Fax (618) 484-9353
Organization SubpartNo
Authorized OfficialLisa M FoxOwner · (618) 920-1680
Enumeration DateFebruary 8, 2021
Last NPPES UpdateNovember 28, 20232 updates tracked since enumeration
NPPES CertifiedNovember 28, 2023
NPI 1295327575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.

4460 N ILLINOIS ST STE 1, Swansea, IL 62226

Secondary Practice Location 1

Location 12921 Maryville Rd Ste BMaryville, IL 62062-5400 · Phone (618) 484-9337 · Fax (618) 484-9353

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
4460 N ILLINOIS ST STE 1
SWANSEA, IL 62226
Clinic/Center (Mental Health (Including Community Mental Health Center))
4460 N ILLINOIS ST STE 1
SWANSEA, IL 62226
Social Worker (Clinical)
4460 N ILLINOIS ST STE 1
SWANSEA, IL 62226
Clinic/Center (Mental Health (Including Community Mental Health Center))
4460 N ILLINOIS ST STE 1
SWANSEA, IL 62226
Counselor (Mental Health)
4460 N ILLINOIS ST STE 1
SWANSEA, IL 62226
Social Worker (Clinical)
4460 N ILLINOIS ST STE 1
SWANSEA, IL 62226
Social Worker (Clinical)
4460 N ILLINOIS ST STE 1
SWANSEA, IL 62226
Social Worker (Clinical)
4460 N ILLINOIS ST STE 1
SWANSEA, IL 62226

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295327575, enumerated as an "organization" on February 08, 2021.

The provider is located at 4460 N ILLINOIS ST STE 1 SWANSEA, IL 62226 and the phone number is (618) 277-7570.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.