Organization · Type 2 NPI

Meredith Bolan Therapy, LLC

Clinical Social Worker · La Grange, IL

NPI number 1114596277 Active

Practice location

82 S La Grange Rd Ste 210
La Grange, IL 60525-6348

Mailing address

920 N Spring Ave
La Grange Park, IL 60526-1477

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone 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…

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About NPI 1114596277

Meredith Bolan Therapy, LLC's National Provider Identifier is 1114596277, issued on Jun 23, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in La Grange, IL. The record was last updated on Jun 23, 2021.