Individual provider · Type 1 NPI

Kelly Nolen, LCSW, TYPE 73

Clinical Social Worker · Chicago, IL

NPI number 1427388115 Active

Practice location

132 E 79th St
Chicago, IL 60619-2302

Call (773) 487-0515 Map

Mailing address

6521 Bridle Path Dr
Matteson, IL 60443-3343

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149010474 (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 1427388115

Kelly Nolen, LCSW, TYPE 73's National Provider Identifier is 1427388115, issued on Jan 3, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chicago, IL. The record was last updated on Jan 3, 2010.