Individual provider · Type 1 NPI

Lawrence Michael Ruffolo, L.C.S.W.

Clinical Social Worker · Chicago, IL

NPI number 1114057346 Active

Practice location

55 E Washington St, Suite 2900
Chicago, IL 60602-2103

Call (847) 338-2564 Map

Fax (312) 906-5199

Mailing address

2407 Hartrey Ave
Evanston, IL 60201-2562

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149-002335 (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 1114057346

Lawrence Michael Ruffolo, L.C.S.W.'s National Provider Identifier is 1114057346, issued on Mar 6, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chicago, IL. The record was last updated on Nov 26, 2008.