Individual provider · Type 1 NPI

Russell Antonio Myslewicz

Clinical Social Worker · Chicago, IL

NPI number 1609747229 Active

Practice location

2656 W Montrose Ave Fl 2
Chicago, IL 60618-1559

Mailing address

4140 W Maypole Ave Apt 2
Chicago, IL 60624-1747

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X150.115122 (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 1609747229

Russell Antonio Myslewicz's National Provider Identifier is 1609747229, issued on Sep 16, 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 Oct 22, 2025.