Individual provider · Type 1 NPI

Shelly Marie Gore, LCSW

Clinical Social Worker · Chicago, IL

NPI number 1720122989 Active

Practice location

3976 N Avondale Ave Fl 2
Chicago, IL 60641-2900

Call (773) 296-8247 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149.011931 (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 1720122989

Shelly Marie Gore, LCSW's National Provider Identifier is 1720122989, issued on Feb 19, 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 Jul 19, 2024.