Individual provider · Type 1 NPI

Micaiah Ellie Mahan

Clinical Social Worker · Skokie, IL

NPI number 1376297895 Active

Practice location

5150 Golf Rd
Skokie, IL 60077-1283

Mailing address

1224 W Rosemont Ave Apt 3
Chicago, IL 60660-1519

Other practice locations

  • 5150 Golf Rd, Skokie, IL 60077-1283 · (224) 318-7120

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149.023917 (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 1376297895

Micaiah Ellie Mahan's National Provider Identifier is 1376297895, issued on Feb 4, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Skokie, IL. The record was last updated on Feb 4, 2022.