Organization · Type 2 NPI

Innerbloom Therapy Practice PC

Clinical Social Worker · Chicago, IL

NPI number 1457080301 Active

Practice location

2656 W Montrose Avenue, Suite 104
Chicago, IL 60618

Mailing address

1235 N Clybourn Ave, Suite A Box 222
Chicago, IL 60610

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1457080301

Innerbloom Therapy Practice PC's National Provider Identifier is 1457080301, issued on Jun 7, 2022. 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 8, 2023.