Individual provider · Type 1 NPI

Susan E. Sandholm, MSW

Clinical Social Worker · Evanston, IL

NPI number 1225245756 Active

Practice location

3200 Grant St
Evanston, IL 60201-1903

Mailing address

141 Green Bay Rd, Apt 402
Wilmette, IL 60091-3359

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1225245756

Susan E. Sandholm, MSW's National Provider Identifier is 1225245756, issued on May 16, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Evanston, IL. The record was last updated on Jul 8, 2007.