Individual provider · Type 1 NPI

Joanna Vergoth, LCSW

Clinical Social Worker · Chicago, IL

NPI number 1225434236 Active

Practice location

4753 N Broadway St, Suite 509
Chicago, IL 60640-5266

Call (917) 796-8213 Map

Mailing address

3150 N Lake Shore Dr, Apt 18F
Chicago, IL 60657-4810

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149.008568 (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 1225434236

Joanna Vergoth, LCSW's National Provider Identifier is 1225434236, issued on Nov 18, 2014. 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 18, 2014.