Individual provider · Type 1 NPI

Matthew Staley, LCSW

Clinical Social Worker · Lake Villa, IL

NPI number 1770123671 Active

Practice location

25480 W Cedar Crest Ln
Lake Villa, IL 60046-9744

Call (847) 356-8205 Map

Mailing address

55 E Jackson Blvd Ste 1500
Chicago, IL 60604-4184

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149021089 (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 1770123671

Matthew Staley, LCSW's National Provider Identifier is 1770123671, issued on Jan 9, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lake Villa, IL. The record was last updated on Jan 9, 2020.