Individual provider · Type 1 NPI
Lawrence Clinton Tice, LCSW
Clinical Social Worker · Chicago, IL
Practice location
5000 S East Ave Apt 7C, Apt 7C
Chicago, IL 60615-3177
Mailing address
5000 S East End Ave Apt 7C
Chicago, IL 60615-3177
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 149-001771 (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 1114183266
Lawrence Clinton Tice, LCSW's National Provider Identifier is 1114183266, issued on Jul 29, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chicago, IL. The record was last updated on Jul 29, 2008.