Individual provider · Type 1 NPI
Shannon Nicole Maximov, LCSW
Clinical Social Worker · Lake Forest, IL
Practice location
900 N Westmoreland Rd Ste 114
Lake Forest, IL 60045-1680
Fax (312) 694-2535
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 149023293 (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 1245378835
Shannon Nicole Maximov, LCSW's National Provider Identifier is 1245378835, issued on Feb 3, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lake Forest, IL. The record was last updated on Mar 31, 2022.