Individual provider · Type 1 NPI

Mario Miguel Mandujano

Clinical Social Worker · Chicago, IL

NPI number 1144042938 Active

Practice location

73 W Monroe St Ste 422
Chicago, IL 60603-4955

Fax (617) 649-8520

Mailing address

700 Massachusetts Ave Fl 3
Cambridge, MA 02139-3345

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X150.105140 (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 1144042938

Mario Miguel Mandujano's National Provider Identifier is 1144042938, issued on Oct 31, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chicago, IL. The record was last updated on Oct 31, 2024.