Individual provider · Type 1 NPI

Mary Ellen Withers, LCSW, LISW

Clinical Social Worker · Oak Park, IL

NPI number 1194040329 Active

Practice location

137 N Oak Park Ave, SUITE#408-1
Oak Park, IL 60301-1344

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X007177 (IA)
Clinical Social Worker 1041C0700X149.005998 (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 1194040329

Mary Ellen Withers, LCSW, LISW's National Provider Identifier is 1194040329, issued on Mar 31, 2010. 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 Jun 13, 2013.