Individual provider · Type 1 NPI

Fernando Cisneros, L.C.S.W.

Clinical Social Worker · Chicago, IL

NPI number 1174801732 Active

Practice location

3410 W Roosevelt Rd
Chicago, IL 60624-4343

Fax (773) 826-2964

Mailing address

1247 S 56th Ct
Cicero, IL 60804-1213

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X000000000 (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 1174801732

Fernando Cisneros, L.C.S.W.'s National Provider Identifier is 1174801732, issued on Aug 1, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chicago, IL. The record was last updated on Nov 2, 2026.