Organization · Type 2 NPI

KJL for Life, Inc

Clinical Social Worker · Highland Park, IL

NPI number 1538094164 Active

Practice location

1803 Saint Johns Ave
Highland Park, IL 60035-3298

Call (847) 494-1946 Map

Mailing address

720 Thayer St Unit 3
Deerfield, IL 60015-2797

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 1538094164

KJL for Life, Inc's National Provider Identifier is 1538094164, issued on Jun 15, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Highland Park, IL. The record was last updated on Oct 20, 2026.