Organization · Type 2 NPI
Servant of Peace LLC
Clinical Social Worker · Evergreen Pk, IL
Practice location
9730 S Western Ave Ste 306
Evergreen Pk, IL 60805-2766
Mailing address
14012 S Green Bay Ave
Burnham, IL 60633-1616
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | None 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…
About NPI 1104702133
Servant of Peace LLC's National Provider Identifier is 1104702133, issued on Aug 14, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Evergreen Pk, IL. The record was last updated on Aug 14, 2025.