Individual provider · Type 1 NPI

Juliet Ann Russom Walden, BS, AM, LSCW

Clinical Social Worker · Blue Island, IL

NPI number 1154614634 Active

Practice location

13136 Western Ave
Blue Island, IL 60406-2423

Call (708) 974-5800 Map

Mailing address

1945 W 22nd Pl
Chicago, IL 60608-4205

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149.014305 (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 1154614634

Juliet Ann Russom Walden, BS, AM, LSCW's National Provider Identifier is 1154614634, issued on May 17, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Blue Island, IL. The record was last updated on Jun 3, 2015.