Individual provider · Type 1 NPI
Sean Smith-Moore, LCSW
Clinical Social Worker · Chicago, IL
Practice location
4309 N Kenmore Ave Unit 2
Chicago, IL 60613-7352
Mailing address
5068 N Winchester Ave Apt 3N
Chicago, IL 60640-7896
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 34978 (IL) |
| Social Worker | 104100000X | LG50081367 (DC) |
| Social Worker | 104100000X | 20792 (MD) |
| Clinical Social Worker Primary | 1041C0700X | 149019678 (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 1629442231
Sean Smith-Moore, LCSW's National Provider Identifier is 1629442231, issued on Nov 19, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chicago, IL. The record was last updated on Apr 22, 2021.