Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Community Life Concepts of Southern Illinois, Npc

Organization Clinical Social Worker · NPI 1336292135

Community Life Concepts of Southern Illinois, Npc provides Clinical Social Worker services 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