Individual provider · Type 1 NPI

Thomas Robert Undine, LCSW

Clinical Social Worker · Chicago, IL

NPI number 1245499151 Active

Practice location

4958 N Milwaukee Ave
Chicago, IL 60630

Call (773) 207-8500 Map

Mailing address

2901 Finley Rd, Suite 102
Downers Grove, IL 60515-1041

Specialties and licenses

TaxonomyCodeLicense
School Social Worker 1041S0200X2239902 (IL)
Clinical Social Worker Primary 1041C0700X149.013059 (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 1245499151

Thomas Robert Undine, LCSW's National Provider Identifier is 1245499151, issued on Jun 5, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chicago, IL. The record was last updated on Jul 21, 2008.