Individual provider · Type 1 NPI

Mary Anastasi, LCSW, PhD

Clinical Social Worker · Park Ridge, IL

NPI number 1104194802 Active

Practice location

36 Main St
Park Ridge, IL 60068-4059

Mailing address

200 Lawndale St
Wilmette, IL 60091-3213

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149009586 (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 1104194802

Mary Anastasi, LCSW, PhD's National Provider Identifier is 1104194802, issued on Dec 8, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Park Ridge, IL. The record was last updated on Dec 8, 2011.