Individual provider · Type 1 NPI

Jodi Petchenik, M.S.W., L.C.S.W.

Clinical Social Worker · Wilmette, IL

NPI number 1154488179 Active

Practice location

2726 Hawthorn Ln
Wilmette, IL 60091-2140

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149010494 (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 1154488179

Jodi Petchenik, M.S.W., L.C.S.W.'s National Provider Identifier is 1154488179, issued on Jan 2, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wilmette, IL. The record was last updated on Dec 12, 2017.