Individual provider · Type 1 NPI

Jill Derose, LCSW

Clinical Social Worker · Park Ridge, IL

NPI number 1679932503 Active

Practice location

1440 Renaissance Dr, Suite 320
Park Ridge, IL 60068-1356

Call (847) 759-9110 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149016519 (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 1679932503

Jill Derose, LCSW's National Provider Identifier is 1679932503, issued on Feb 20, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Park Ridge, IL. The record was last updated on Feb 20, 2016.