Individual provider · Type 1 NPI

Mary Coulibaly, LCSW

Clinical Social Worker · Oak Lawn, IL

NPI number 1063005122 Active

Practice location

4440 W 95th St
Oak Lawn, IL 60453-2600

Call (773) 490-4821 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149.022999 (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 1063005122

Mary Coulibaly, LCSW's National Provider Identifier is 1063005122, issued on Feb 18, 2021. 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 Feb 20, 2021.