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

Dynamic Counseling and Consultation Services

Organization Clinical Social Worker · NPI 1457771677

Dynamic Counseling and Consultation Services is a Clinical Social Worker in Mount Vernon, Illinois. Licensed in Missouri. Registered with an NPI since 2014.

Licensed in
MO
In the registry since
2014

Practice location Address checks out

4202 Williamson Pl Ste 1
Mount Vernon, IL 62864-6760
Phone: (618) 816-1224
Fax: (800) 335-4761
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 2003032196 (MO)

Record details

NPI number1457771677
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carrie Crocker — Owner · (618) 816-1224
NPI enumeratedApril 27, 2014
Last updated in NPPESJanuary 27, 2025
Certification dateJanuary 27, 2025
Mailing address1111 S Lincoln Ave Unit 1326, O Fallon, IL 62269-5165

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