Individual provider · Type 1 NPI

Michele L. Tantillo, LCSW

Clinical Social Worker · Bolingbrook, IL

NPI number 1679558571 Active

Practice location

357 Meadowlark Drive
Bolingbrook, IL 60440

Fax (847) 338-8268

Mailing address

357 Meadowlark Dr
Bolingbrook, IL 60440-4980

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X149007488 (IL)
Clinical Social Worker Primary 1041C0700X149.007488 (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.