Individual provider · Type 1 NPI
Andrea Doherty Lissuzzo, LCSW
Clinical Social Worker · River Forest, IL
Practice location
526 Keystone Ave
River Forest, IL 60305-1612
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 149.007467 (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 1699375592
Andrea Doherty Lissuzzo, LCSW's National Provider Identifier is 1699375592, issued on Oct 29, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in River Forest, IL. The record was last updated on Oct 18, 2021.