Individual provider · Type 1 NPI

Susan Trudeau, LCSW

Clinical Social Worker · Chicago, IL

NPI number 1780975011 Active

Practice location

4822 N Broadway St, 2nd Floor
Chicago, IL 60640-3604

Fax (773) 271-8810

Mailing address

3727 N Marshfield Ave, #3
Chicago, IL 60613-3621

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X12732 (IL)
Clinical Social Worker Primary 1041C0700X149.006965 (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 1780975011

Susan Trudeau, LCSW's National Provider Identifier is 1780975011, issued on Apr 20, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chicago, IL. The record was last updated on Apr 20, 2011.