Individual provider · Type 1 NPI

Bertha Davis, LCSW

Clinical Social Worker · Oak Park, IL

NPI number 1154042679 Active

Practice location

1010 Lake St
Oak Park, IL 60301-1147

Mailing address

4926 W Rice St
Chicago, IL 60651-3151

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149024731 (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 1154042679

Bertha Davis, LCSW's National Provider Identifier is 1154042679, issued on Sep 5, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Oak Park, IL. The record was last updated on Sep 5, 2022.