Individual provider · Type 1 NPI

Tina Goolsby

Clinical Social Worker · Flossmoor, IL

NPI number 1124529979 Active

Practice location

19530 Kedzie Ave
Flossmoor, IL 60422-1778

Call (708) 799-2200 Map

Fax (708) 614-7831

Mailing address

17746 Oak Park Ave
Tinley Park, IL 60477-3936

Specialties and licenses

TaxonomyCodeLicense
School Social Worker 1041S0200XNone listed
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 1124529979

Tina Goolsby's National Provider Identifier is 1124529979, issued on Feb 27, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Flossmoor, IL. The record was last updated on Feb 27, 2018.