Individual provider · Type 1 NPI
Mark Steven Samuelson, L.C.S.W.
Clinical Social Worker · Evanston, IL
Practice location
2550 Crawford Avenue, Suite 14
Evanston, IL 60201-4983
Fax (312) 782-8276
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 149000936 (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 1740322502
Mark Steven Samuelson, L.C.S.W.'s National Provider Identifier is 1740322502, issued on Feb 12, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Evanston, IL. The record was last updated on Jun 2, 2008.