Individual provider · Type 1 NPI

Carolyn Ann Goosby, DMIN, MDIV, LCSW

Clinical Social Worker · Oak Lawn, IL

NPI number 1023614864 Active

Practice location

9701 S 49th Ave
Oak Lawn, IL 60453-3005

Fax (708) 563-0114

Mailing address

Dr Carolyn A Goosby, 8108A Concord Lane
Justice, IL 60458

Specialties and licenses

TaxonomyCodeLicense
Pastoral Counselor 101YP1600XNone listed
Clinical Social Worker 1041C0700XNone listed
Clinical Social Worker Primary 1041C0700XNone listed

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 1023614864

Carolyn Ann Goosby, DMIN, MDIV, LCSW's National Provider Identifier is 1023614864, issued on Dec 8, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Oak Lawn, IL. The record was last updated on Apr 30, 2024.