Individual provider · Type 1 NPI

Andrew Jonah Gomberg, L.C.S.W.

Clinical Social Worker · Glencoe, IL

NPI number 1104085703 Active

Practice location

378 Park Ave Ste 2A
Glencoe, IL 60022-2700

Call (773) 480-6150 Map

Fax (847) 242-0795

Mailing address

1807 W Winnemac Ave Unit E
Chicago, IL 60640-7145

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149.012991 (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 1104085703

Andrew Jonah Gomberg, L.C.S.W.'s National Provider Identifier is 1104085703, issued on Jun 9, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Glencoe, IL. The record was last updated on Jun 9, 2008.