Organization · Type 2 NPI

Grace Bothwell, PLLC

Clinical Social Worker · Chicago, IL

NPI number 1508748567 Active

Practice location

3717 N Ravenswood Ave Ste 220W
Chicago, IL 60613-3899

Call (608) 359-6729 Map

Mailing address

1440 W Taylor St # 1333
Chicago, IL 60607-4623

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 1508748567

Grace Bothwell, PLLC's National Provider Identifier is 1508748567, issued on Jul 22, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chicago, IL. The record was last updated on Sep 10, 2025.