Individual provider · Type 1 NPI
Pemba B. Bayo, LCSW
Clinical Social Worker · Chicago, IL
Practice location
1150 W Lunt Ave Ste B&c
Chicago, IL 60626-3520
Fax (855) 783-8724
Mailing address
1096 W Pratt Blvd Apt 1S
Chicago, IL 60626-4480
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 149.024221 (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 1063166510
Pemba B. Bayo, LCSW's National Provider Identifier is 1063166510, issued on Feb 3, 2022. 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 3, 2022.