Individual provider · Type 1 NPI

Worsham CC El, AM, LCSW, CFTP

Clinical Social Worker · Chicago, IL

NPI number 1508226911 Active

Practice location

2151 W 79th St Ste 2
Chicago, IL 60620-5723

Fax (773) 952-2025

Mailing address

219 E 79th St Apt 315
Chicago, IL 60619-2849

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X149018288 (IL)
Clinical Social Worker Primary 1041C0700X149018288 (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 1508226911

Worsham CC El, AM, LCSW, CFTP's National Provider Identifier is 1508226911, issued on Feb 26, 2016. 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 15, 2020.