Individual provider · Type 1 NPI

Terri Fry Brukhartz, LCSW

Clinical Social Worker · Oak Park, IL

NPI number 1104081108 Active

Practice location

1010 Lake St, Ste. 616
Oak Park, IL 60301-1147

Mailing address

928 N Grove Ave
Oak Park, IL 60302-1342

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149-008928 (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 1104081108

Terri Fry Brukhartz, LCSW's National Provider Identifier is 1104081108, issued on Jul 20, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Oak Park, IL. The record was last updated on Jul 20, 2008.