Organization · Type 2 NPI

Kinzie Therapy & Consulting PLLC

Clinical Social Worker · Evanston, IL

NPI number 1083588636 Active

Practice location

2530 Crawford Ave Ste 317
Evanston, IL 60201-4972

Mailing address

3611 Hillside Rd
Evanston, IL 60201-4936

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 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 1083588636

Kinzie Therapy & Consulting PLLC's National Provider Identifier is 1083588636, issued on Oct 6, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Evanston, IL. The record was last updated on Oct 7, 2025.