DYNAMIC COUNSELING AND CONSULTATION SERVICES
NPI 1457771677
Social Worker - Clinical in Mount Vernon, IL

Active since April 27, 2014
4202 WILLIAMSON PL STE 1, MOUNT VERNON, IL 62864(618) 816-1224(800) 335-4761 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dynamic Counseling And Consultation Services NPPES

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

DYNAMIC COUNSELING AND CONSULTATION SERVICES (NPI 1457771677) is a healthcare organization registered as a clinical in Mount Vernon, Illinois and active in the NPI registry since April 2014. The organization lists Carrie Crocker, Owner, as its authorized official.

NPPES Registry Identity

NPI1457771677
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameDYNAMIC COUNSELING AND CONSULTATION SERVICES
Location Address4202 WILLIAMSON PL STE 1Mount Vernon, IL 62864-6760
Mailing Address1111 S Lincoln Ave Unit 1326O Fallon, IL 62269-5165 · (618) 816-1224 · Fax (800) 335-4761
Fax(800) 335-4761
Organization SubpartNo
Authorized OfficialCarrie CrockerOwner · (618) 816-1224
Enumeration DateApril 27, 2014
Last NPPES UpdateJanuary 27, 2025
NPPES CertifiedJanuary 27, 2025
NPI 1457771677 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 MO · 2003032196
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.
4202 WILLIAMSON PL STE 1, Mount Vernon, IL 62864

Other Identifiers 1

Medicaid497312108MO

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 3

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

Counselor (Professional)
4202 WILLIAMSON PL STE 1
MOUNT VERNON, IL 62864
Social Worker
4202 WILLIAMSON PL STE 1
MOUNT VERNON, IL 62864
Social Worker (Clinical)
4202 WILLIAMSON PL STE 1
MOUNT VERNON, IL 62864

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 Dynamic Counseling And Consultation Services's NPI number?

The NPI number for Dynamic Counseling And Consultation Services is 1457771677. It was assigned to this organization in the NPPES registry on April 27, 2014.

Where is Dynamic Counseling And Consultation Services located?

Dynamic Counseling And Consultation Services is located at 4202 Williamson Pl Ste 1, Mount Vernon, IL 62864. The listed phone number is (618) 816-1224.

What is Dynamic Counseling And Consultation Services'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 Dynamic Counseling And Consultation Services was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.