Individual provider · Type 1 NPI

Yairis Carmona Lopez

Clinical Social Worker · New Lenox, IL

NPI number 1609665751 Active

Practice location

400 E Lincoln Hwy
New Lenox, IL 60451-1992

Mailing address

635 Emerald Ave
Chicago Heights, IL 60411-1801

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
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 1609665751

Yairis Carmona Lopez's National Provider Identifier is 1609665751, issued on May 5, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New Lenox, IL. The record was last updated on May 5, 2025.