Individual provider · Type 1 NPI
Tasha Marie Weathersby
Clinical Social Worker · Chicago, IL
Practice location
461 E 111th St
Chicago, IL 60628-4558
Fax (773) 629-8087
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 150.112787 (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…
2 other providers at this address
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About NPI 1376458950
Tasha Marie Weathersby's National Provider Identifier is 1376458950, issued on Aug 17, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chicago, IL. The record was last updated on Aug 17, 2026.