Individual provider · Type 1 NPI

Kristine Bukala, LCSW

Clinical Social Worker · Channahon, IL

NPI number 1336679455 Active

Practice location

25224 W Eames St Ste C
Channahon, IL 60410-5256

Mailing address

25224 E Eames St, Suite C
Channahon, IL 60410

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149019565 (IL)
Social Worker 104100000X150015098 (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 1336679455

Kristine Bukala, LCSW's National Provider Identifier is 1336679455, issued on Jun 13, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Channahon, IL. The record was last updated on May 13, 2024.