Individual provider · Type 1 NPI
Jaq L. Zuidema, LCSW, ASDCS, TIYT
Clinical Social Worker · Chicago, IL
Practice location
4000 W Montrose Ave # 790
Chicago, IL 60641-2140
Mailing address
8263 S Harvard Ave # 1015
Tulsa, OK 74137-1614
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Clinical Social Worker | 1041C0700X | 21219 (OK) |
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Clinical Social Worker Primary | 1041C0700X | 149.028001 (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 1043749310
Jaq L. Zuidema, LCSW, ASDCS, TIYT's National Provider Identifier is 1043749310, issued on Jun 8, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chicago, IL. The record was last updated on May 14, 2025.