Individual provider · Type 1 NPI

Sergio Vinicio Grajeda, LCSW, PhD

Clinical Social Worker · Oak Park, IL

NPI number 1689762734 Active

Practice location

715 Lake St Ste 800
Oak Park, IL 60301-1417

Call (708) 848-8145 Map

Fax (708) 848-6176

Mailing address

5109 W 85th St
Burbank, IL 60459-2714

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149.0072232 (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 1689762734

Sergio Vinicio Grajeda, LCSW, PhD's National Provider Identifier is 1689762734, issued on Oct 11, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Oak Park, IL. The record was last updated on Jul 8, 2007.