Individual provider · Type 1 NPI

Lisa Raubolt

Clinical Social Worker · Chicago, IL

NPI number 1003242124 Active

Practice location

676 N Saint Clair St
Chicago, IL 60611-2927

Call (312) 926-4512 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149015331 (IL)

Clinical Social Worker: 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 interpers…

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About NPI 1003242124

Lisa Raubolt's National Provider Identifier is 1003242124, issued on Sep 20, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chicago, IL. The record was last updated on Feb 2, 2015.