Individual provider · Type 1 NPI

Leah Mackus, LLMSW

Clinical Social Worker · Chicago, IL

NPI number 1386918910 Active

Practice location

4525 N Ravenswood Ave
Chicago, IL 60640-5201

Mailing address

4163 Little Star Ct SW
Grandville, MI 49418-3021

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XL2547191 (MI)
Clinical Social Worker 1041C0700XL1788972 (MI)
Clinical Social Worker Primary 1041C0700XP715114 (MI)

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 1386918910

Leah Mackus, LLMSW's National Provider Identifier is 1386918910, issued on Feb 29, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chicago, IL. The record was last updated on Sep 1, 2021.