Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Community Life Concepts of Southern Illinois, Npc

Organization Clinical Social Worker · NPI 1336292135

Community Life Concepts of Southern Illinois, Npc is a Clinical Social Worker in Murphysboro, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007

Practice location Address checks out

473 W Harrison Rd
Murphysboro, IL 62966-4782
Phone: (618) 867-2222
Fax: (618) 687-3102
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149-0100100 (IL)

Record details

NPI number1336292135
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Philip Nordstrom — Registered Agent · (618) 867-2222
Other names Community Life Counseling Center
NPI enumeratedJanuary 18, 2007
Last updated in NPPESAugust 22, 2020
Mailing address473 W Harrison Rd, Murphysboro, IL 62966-4782

Other providers in Murphysboro