Individual provider · Type 1 NPI

Kristin Petitti, LCSW

Clinical Social Worker · St. Charles, IL

NPI number 1326549718 Active

Practice location

111 E Main St
St. Charles, IL 60174-1948

Mailing address

6594 Tealwood Dr
Lisle, IL 60532-3276

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1326549718

Kristin Petitti, LCSW's National Provider Identifier is 1326549718, issued on Feb 22, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Charles, IL. The record was last updated on Feb 22, 2018.