Individual provider · Type 1 NPI
Evan Richard Middaugh
Clinical Social Worker · Chicago, IL
Practice location
2711 N Mildred Ave Apt 2B
Chicago, IL 60614-2771
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 149.021545 (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 1316588718
Evan Richard Middaugh's National Provider Identifier is 1316588718, issued on Oct 7, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chicago, IL. The record was last updated on Oct 7, 2019.