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COMMUNITY LIFE COUNSELING CENTER
NPI 1336292135
Social Worker - Clinical in Murphysboro, IL

Active since January 18, 2007
473 W HARRISON RD, MURPHYSBORO, IL 62966(618) 867-2222(618) 687-3102 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Community Life Counseling Center NPPES

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

COMMUNITY LIFE COUNSELING CENTER (NPI 1336292135) is a healthcare organization registered as a clinical in Murphysboro, Illinois and active in the NPI registry since January 2007. The organization lists Philip C Nordstrom, Registered Agent, as its authorized official.

NPPES Registry Identity

NPI1336292135
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameCOMMUNITY LIFE CONCEPTS OF SOUTHERN ILLINOIS, NPC
Location Address473 W HARRISON RDMurphysboro, IL 62966-4782
Mailing Address473 W Harrison RdMurphysboro, IL 62966-4782 · (618) 867-2222 · Fax (618) 687-3102
Phone(618) 867-2222
Fax(618) 687-3102
Organization SubpartNo
Authorized OfficialPhilip C NordstromRegistered Agent · (618) 867-2222
Enumeration DateJanuary 18, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1336292135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149-0100100
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.
473 W HARRISON RD, Murphysboro, IL 62966
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Other Names 1

Doing Business AsCommunity Life Counseling Center

Other Identifiers 2

Other03932042IL · Blue Cross Blue Shield Il
Other122970IL · Healthalliance

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

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

MELANIE JEAN NORDSTROM L.C.S.W.
Social Worker (Clinical)
473 W HARRISON RD
MURPHYSBORO, IL 62966
Jackson County (618) 565-2007

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Community Life Concepts Of Southern Illinois, Npc's NPI number?

The NPI number for Community Life Concepts Of Southern Illinois, Npc is 1336292135. It was assigned to this organization in the NPPES registry on January 18, 2007. The provider is doing business as Community Life Counseling Center.

Where is Community Life Concepts Of Southern Illinois, Npc located?

Community Life Concepts Of Southern Illinois, Npc is located at 473 W Harrison Rd, Murphysboro, IL 62966. The listed phone number is (618) 867-2222.

What is Community Life Concepts Of Southern Illinois, Npc's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Community Life Concepts Of Southern Illinois, Npc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.