Individual provider · Type 1 NPI
Mia Teresa D'agostino, LCSW
Clinical Social Worker · Chicago, IL
Practice location
2500 W Bradley Pl Ste 210
Chicago, IL 60618-4716
Mailing address
1526 W Belle Plaine Ave Apt 2
Chicago, IL 60613-1857
Other practice locations
- 2500 W Bradley Pl Ste 100, Chicago, IL 60618-4716 · (475) 215-1234
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 149-017535 (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 1669953683
Mia Teresa D'agostino, LCSW's National Provider Identifier is 1669953683, issued on Aug 27, 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 Aug 27, 2018.