Individual provider · Type 1 NPI

Jillu Panavelil Mathew

Clinical Social Worker · Wood Dale, IL

NPI number 1730628793 Active

Practice location

119 Blackhawk Ct Unit 5
Wood Dale, IL 60191-2813

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149.020218 (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 1730628793

Jillu Panavelil Mathew's National Provider Identifier is 1730628793, issued on Feb 22, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wood Dale, IL. The record was last updated on Jul 30, 2020.