Organization · Type 2 NPI

Mia Dagostino LLC

Clinical Social Worker · Northbrook, IL

NPI number 1720458938 Active

Practice location

60 Revere Dr, Suite 100
Northbrook, IL 60062-1563

Mailing address

1527 W Barry Ave, Unit 1
Chicago, IL 60657-3105

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149.017535 (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 1720458938

Mia Dagostino LLC's National Provider Identifier is 1720458938, issued on Sep 30, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Northbrook, IL. The record was last updated on Sep 30, 2015.