Individual provider · Type 1 NPI
Thea Justine Rossmiller, MSW, LCSW
Clinical Social Worker · Lake Forest, IL
Practice location
1025 W Everett Rd Ste 4
Lake Forest, IL 60045-2668
Mailing address
17894 W Braewick Rd
Gurnee, IL 60031-5207
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Clinical Social Worker Primary | 1041C0700X | None 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 1760121172
Thea Justine Rossmiller, MSW, LCSW's National Provider Identifier is 1760121172, issued on Jun 2, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lake Forest, IL. The record was last updated on Aug 4, 2025.