Individual provider · Type 1 NPI

Stacey Dianne Robertson, LCSW

Clinical Social Worker · Broadview, IL

NPI number 1265101653 Active

Practice location

2345 S 19th Ave
Broadview, IL 60155-3933

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149010259 (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 1265101653

Stacey Dianne Robertson, LCSW's National Provider Identifier is 1265101653, issued on Sep 8, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Broadview, IL. The record was last updated on Sep 8, 2021.