Individual provider · Type 1 NPI

Kerrie Danielle Fish, LCSW, CADC

Clinical Social Worker · Waukegan, IL

NPI number 1669730198 Active

Practice location

3004 Grand Ave
Waukegan, IL 60085-2321

Call (847) 377-8120 Map

Fax (847) 984-5691

Mailing address

3010 Grand Ave
Waukegan, IL 60085-2321

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400X30977 (IL)
Clinical Social Worker Primary 1041C0700X149.017900 (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 1669730198

Kerrie Danielle Fish, LCSW, CADC's National Provider Identifier is 1669730198, issued on May 3, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Waukegan, IL. The record was last updated on Feb 20, 2020.