Individual provider · Type 1 NPI

Jeffrey J. Bulanda, PhD, LCSW

Clinical Social Worker · Chicago, IL

NPI number 1477878908 Active

Practice location

3825 N Pine Grove Ave, #410
Chicago, IL 60613-4196

Call (773) 550-1620 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149.012076 (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 1477878908

Jeffrey J. Bulanda, PhD, LCSW's National Provider Identifier is 1477878908, issued on Mar 26, 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 Mar 26, 2010.