Individual provider · Type 1 NPI

Jacqueline H. Grygotis, L.C.S.W.

Clinical Social Worker · Evanston, IL

NPI number 1447394135 Active

Practice location

1021 Judson Ave
Evanston, IL 60202-1320

Fax (847) 328-7772

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149.005371 (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 1447394135

Jacqueline H. Grygotis, L.C.S.W.'s National Provider Identifier is 1447394135, issued on Feb 16, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Evanston, IL. The record was last updated on Dec 11, 2020.