Individual provider · Type 1 NPI

Todd Lazar

Clinical Social Worker · Chicago, IL

NPI number 1639664873 Active

Practice location

2858 W Diversey Ave
Chicago, IL 60647-1871

Call (312) 925-6366 Map

Mailing address

2637 N Whipple St
Chicago, IL 60647-1721

Other practice locations

  • 455 E Main St, East Dundee, IL 60118-1529 · (872) 242-7540

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149018280

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 1639664873

Todd Lazar's National Provider Identifier is 1639664873, issued on Jun 29, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chicago, IL. The record was last updated on Feb 24, 2020.