Individual provider · Type 1 NPI

Shannon Vavrusa, LCSW

Clinical Social Worker · Antioch, IL

NPI number 1285446708 Active

Practice location

311 W Depot St
Antioch, IL 60002-1500

Mailing address

W145 Lilac Ave
Genoa City, WI 53128-1986

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149.028640 (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 1285446708

Shannon Vavrusa, LCSW's National Provider Identifier is 1285446708, issued on Jan 22, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Antioch, IL. The record was last updated on Jan 22, 2025.