Individual provider · Type 1 NPI

Mary Lou Petty, MSW LCSW

Clinical Social Worker · Chicago, IL

NPI number 1598747461 Active

Practice location

30 N Michigan Ave, Ste 1004
Chicago, IL 60602-3402

Call (312) 236-4364 Map

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 1598747461

Mary Lou Petty, MSW LCSW's National Provider Identifier is 1598747461, issued on Nov 16, 2005. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chicago, IL. The record was last updated on Jul 13, 2026.