Individual provider · Type 1 NPI

Theresa Shore, LCSW

Clinical Social Worker · Geneva, IL

NPI number 1023845096 Active

Practice location

321 Hamilton St
Geneva, IL 60134-2148

Mailing address

804 S Main St
Mount Prospect, IL 60056-4232

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149020550 (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 1023845096

Theresa Shore, LCSW's National Provider Identifier is 1023845096, issued on Sep 16, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Geneva, IL. The record was last updated on Sep 16, 2024.