Individual provider · Type 1 NPI

Miracle Donique Montgomery, LCSW

Clinical Social Worker · Chicago, IL

NPI number 1659527927 Active

Practice location

676 N Saint Clair St Ste 1000
Chicago, IL 60611-2976

Call (312) 695-5060 Map

Fax (312) 695-5507

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149017092 (IL)
Counselor 101Y00000XNone listed

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 1659527927

Miracle Donique Montgomery, LCSW's National Provider Identifier is 1659527927, issued on Aug 18, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chicago, IL. The record was last updated on Sep 19, 2023.