Individual provider · Type 1 NPI

Tamaya Staten, LCSW

Clinical Social Worker · Olympia Fields, IL

NPI number 1649070210 Active

Practice location

20200 Governors Dr Ste 352
Olympia Fields, IL 60461-1032

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149028932 (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 1649070210

Tamaya Staten, LCSW's National Provider Identifier is 1649070210, issued on Mar 13, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Olympia Fields, IL. The record was last updated on Jun 12, 2026.