Individual provider · Type 1 NPI

Pamela Costis, LCSW

Clinical Social Worker · Northbrook, IL

NPI number 1407599418 Active

Practice location

3000 Dundee Rd Ste 101
Northbrook, IL 60062-2424

Mailing address

16 Brandywine Rd
South Barrington, IL 60010-9311

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149.021472 (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 1407599418

Pamela Costis, LCSW's National Provider Identifier is 1407599418, issued on Apr 18, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Northbrook, IL. The record was last updated on Apr 18, 2022.