Search › Illinois › Clinical Social Worker
Brian Radzom, LCSW
NPI 1790941300 · on the registry since 2008 · sole proprietor
Practice
- Address
- 205 S Main St
Edwardsville, IL 62025 - Phone
- (618) 248-2040
- Fax
- (618) 248-2040
- Organisation at this address
- Interfaith Counseling Center
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Clinical Social Worker
1041C0700X
- Also registered as
- Clinical Social Worker
- Licence states on file
- IL, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-10-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois