Individual provider · Type 1 NPI

Olivia Nortillo Clark, LSW, MSW

Counselor · Mundelein, IL

NPI number 1073468401 Active

Practice location

1445 Canterbury Ln Apt A208
Mundelein, IL 60060-4457

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X150.114299 (IL)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1073468401

Olivia Nortillo Clark, LSW, MSW's National Provider Identifier is 1073468401, issued on Mar 2, 2026. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Mundelein, IL. The record was last updated on Mar 2, 2026.