Individual provider · Type 1 NPI

Keith J. Harris, LCSW

Clinical Social Worker · Chicago, IL

NPI number 1508367848 Active

Practice location

3411 W Diversey Ave Ofc 14
Chicago, IL 60647-1245

Call (224) 534-0331 Map

Other practice locations

  • 4648 N Leclaire Ave, Chicago, IL 60630-3817 · (773) 454-3059

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149018572 (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 1508367848

Keith J. Harris, LCSW's National Provider Identifier is 1508367848, issued on Feb 22, 2018. 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 4, 2021.