Individual provider · Type 1 NPI

Laura Mick Denatale, PhD, L.C.S.W.

Clinical Social Worker · Evanston, IL

NPI number 1619008992 Active

Practice location

636 Church St Ste 406
Evanston, IL 60201-4580

Fax (847) 602-2876

Mailing address

6700 N Maplewood Ave
Chicago, IL 60645-4620

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0149008148 (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 1619008992

Laura Mick Denatale, PhD, L.C.S.W.'s National Provider Identifier is 1619008992, issued on Mar 8, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Evanston, IL. The record was last updated on Oct 9, 2019.