Individual provider · Type 1 NPI
Jerome Pietrusiak, LICENSED CLINICAL SO
Clinical Social Worker · Chicago, IL
Practice location
3456 W Franklin Blvd
Chicago, IL 60624-1308
Mailing address
2105 Sunnyside
Westchester, IL 60154-5205
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | 149002241 (IL) |
| Clinical Social Worker Primary | 1041C0700X | 149.002241 (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…
3 other providers at this address
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About NPI 1679793913
Jerome Pietrusiak, LICENSED CLINICAL SO's National Provider Identifier is 1679793913, issued on Apr 27, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chicago, IL. The record was last updated on Dec 26, 2019.