Individual provider · Type 1 NPI

Jody Michael, LCSW

Clinical Social Worker · Chicago, IL

NPI number 1619632767 Active

Practice location

405 N Wabash Ave Unit 2615
Chicago, IL 60611-8502

Mailing address

4860 N Paulina St
Chicago, IL 60640-4106

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149-009563 (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 1619632767

Jody Michael, LCSW's National Provider Identifier is 1619632767, issued on Nov 3, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chicago, IL. The record was last updated on Nov 3, 2021.