Individual provider · Type 1 NPI
Ellison Bonner
Clinical Social Worker · Chicago, IL
Practice location
1552 W Fullerton Ave Ste 100
Chicago, IL 60614-9018
Mailing address
2 W Delaware Pl Unit 1204
Chicago, IL 60610-3406
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 150.110672 (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 1306536222
Ellison Bonner's National Provider Identifier is 1306536222, issued on May 12, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chicago, IL. The record was last updated on May 12, 2023.