Individual provider · Type 1 NPI
Michael Mudgett, LCSW
Clinical Social Worker · Chicago, IL
Practice location
5524 W Harrison St
Chicago, IL 60644-5032
Fax (773) 379-0971
Mailing address
645 S Central Ave
Chicago, IL 60644-5059
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 149.018688 (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…
2 other providers at this address
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About NPI 1134536865
Michael Mudgett, LCSW's National Provider Identifier is 1134536865, issued on Jul 15, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chicago, IL. The record was last updated on Jan 31, 2017.