Individual provider · Type 1 NPI

Joseph Jake Johnson, LSW

Clinical Social Worker · Chicago, IL

NPI number 1336914027 Active

Practice location

820 S Damen Ave
Chicago, IL 60612-3728

Mailing address

11783 Seagull Ln
Palos Heights, IL 60463-1048

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X150110893 (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 1336914027

Joseph Jake Johnson, LSW's National Provider Identifier is 1336914027, issued on Nov 22, 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 Nov 22, 2023.