Individual provider · Type 1 NPI

Shardae Elise Martin, LSW

Clinical Social Worker · Chicago, IL

NPI number 1174209886 Active

Practice location

840 W Irving Park Rd
Chicago, IL 60613-3011

Call (872) 265-1235 Map

Fax (773) 275-3880

Mailing address

4446 N Racine Ave
Chicago, IL 60640-5640

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X150111865 (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 1174209886

Shardae Elise Martin, LSW's National Provider Identifier is 1174209886, issued on Jun 26, 2023. 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 3, 2024.