Individual provider · Type 1 NPI
Michele L. Tantillo, LCSW
Clinical Social Worker · Bolingbrook, IL
Practice location
357 Meadowlark Drive
Bolingbrook, IL 60440
Fax (847) 338-8268
Mailing address
357 Meadowlark Dr
Bolingbrook, IL 60440-4980
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | 149007488 (IL) |
| Clinical Social Worker Primary | 1041C0700X | 149.007488 (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 1679558571
Michele L. Tantillo, LCSW's National Provider Identifier is 1679558571, issued on Dec 13, 2005. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bolingbrook, IL. The record was last updated on Jan 13, 2017.