Individual provider · Type 1 NPI

Mariellen M. Re, L.C.S.W./C.A.D.C.

Clinical Social Worker · Lake In The Hills, IL

NPI number 1669465340 Active

Practice location

1303 W Algonquin Rd
Lake In The Hills, IL 60156-3575

Call (847) 854-8995 Map

Fax (847) 658-0787

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone 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 1669465340

Mariellen M. Re, L.C.S.W./C.A.D.C.'s National Provider Identifier is 1669465340, issued on Aug 26, 2005. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lake In The Hills, IL. The record was last updated on Jul 13, 2026.