Individual provider · Type 1 NPI

Jessica Carlos, LCSW

Clinical Social Worker · Chicago, IL

NPI number 1700536349 Active

Practice location

3711 N Ravenswood Ave
Chicago, IL 60613-3599

Mailing address

5813 S New England Ave
Chicago, IL 60638-3218

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149.014828

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 1700536349

Jessica Carlos, LCSW's National Provider Identifier is 1700536349, issued on Mar 26, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chicago, IL. The record was last updated on Mar 26, 2022.