Individual provider · Type 1 NPI

Michael Roe, LCSW, LCPC

Clinical Social Worker · Calumet City, IL

NPI number 1134475452 Active

Practice location

1200 Ring Rd, 2454
Calumet City, IL 60409-7200

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149.016500 (IL)
Professional Counselor 101YP2500X180.007091 (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 1134475452

Michael Roe, LCSW, LCPC's National Provider Identifier is 1134475452, issued on Jul 24, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Calumet City, IL. The record was last updated on Apr 30, 2016.