Individual provider · Type 1 NPI

Nicole Lis, LCSW

Clinical Social Worker · Libertyville, IL

NPI number 1720147424 Active

Practice location

31480 N US Highway 45
Libertyville, IL 60048-9444

Call (847) 680-2715 Map

Fax (847) 680-3832

Mailing address

31480 US Highway 45
Libertyville, IL 60048

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1720147424

Nicole Lis, LCSW's National Provider Identifier is 1720147424, issued on Dec 8, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Libertyville, IL. The record was last updated on Jul 9, 2007.