Organization · Type 2 NPI

Fringe Counseling, Coaching, and Consulting

Clinical Social Worker · Forest Park, IL

NPI number 1104369032 Active

Practice location

1525 Circle Ave
Forest Park, IL 60130-2629

Mailing address

5954 W Fulton St, 1
Chicago, IL 60644-2114

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149.018777 (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 1104369032

Fringe Counseling, Coaching, and Consulting's National Provider Identifier is 1104369032, issued on Nov 26, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Forest Park, IL. The record was last updated on Nov 26, 2016.