Organization · Type 2 NPI

Alza Great Lakes Psychotherapy Professional LLC

Clinical Social Worker · Chicago, IL

NPI number 1720812860 Active

Practice location

1719 N Rutherford Ave
Chicago, IL 60707-3942

Call (708) 824-7533 Map

Fax (312) 748-4256

Mailing address

7061 North Ave # 292
Oak Park, IL 60302-1015

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 1720812860

Alza Great Lakes Psychotherapy Professional LLC's National Provider Identifier is 1720812860, issued on Aug 30, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chicago, IL. The record was last updated on Feb 12, 2025.