Individual provider · Type 1 NPI

Mariam M. Eldeib I, MSW, LCSW

Clinical Social Worker · Chicago, IL

NPI number 1265855209 Active

Practice location

38205 Eagle Way
Chicago, IL 60678-1382

Mailing address

675 N Saint Clair St, Suite 21-100
Chicago, IL 60611-5975

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149.015745 (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 1265855209

Mariam M. Eldeib I, MSW, LCSW's National Provider Identifier is 1265855209, issued on Jan 28, 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 Jan 28, 2014.