Individual provider · Type 1 NPI

Nicole Qiaohong Yan

Clinical Social Worker · Evanston, IL

NPI number 1083489082 Active

Practice location

828 Davis St
Evanston, IL 60201-4420

Mailing address

5130 S University Ave
Chicago, IL 60615-3908

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X150.111975 (IL)
Clinical Social Worker 1041C0700XNone listed

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 1083489082

Nicole Qiaohong Yan's National Provider Identifier is 1083489082, issued on Nov 20, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Evanston, IL. The record was last updated on Nov 20, 2023.