TERESA NAN MAIDAK LCSW
NPI 1972295517
Social Worker - Clinical in Thomson, IL

Active since May 23, 2023
2511 MARKET ST, THOMSON, IL 61285(815) 718-0237 Get Directions Write a Review

NPPES record last updated: May 23, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Teresa Nan Maidak Lcsw NPPES

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

TERESA NAN MAIDAK LCSW (NPI 1972295517) is an individual clinical provider in Thomson, Illinois, licensed in Illinois (149.012739) and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1972295517
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTERESA NAN MAIDAKCredential: LCSW
Location Address2511 MARKET STThomson, IL 61285-8525
Mailing Address2511 Market StThomson, IL 61285-8525 · (815) 718-0237
Sole ProprietorYes
Enumeration DateMay 23, 2023
NPPES CertifiedMay 23, 2023
NPI 1972295517 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 · 149.012739
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.
2511 MARKET ST, Thomson, IL 61285

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 Teresa Maidak's NPI number?

The NPI number for Teresa Maidak is 1972295517. It was assigned to this individual provider in the NPPES registry on May 23, 2023.

Where is Teresa Maidak located?

Teresa Maidak practices at 2511 Market St, Thomson, IL 61285. The listed phone number is (815) 718-0237.

What is Teresa Maidak'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 Teresa Maidak was last updated on May 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.