Individual provider · Type 1 NPI

Benjamin Fogel, LCSW

Clinical Social Worker · Chicago, IL

NPI number 1801200076 Active

Practice location

53 W Jackson Blvd, Ste 841
Chicago, IL 60604-3828

Mailing address

2443 N Sawyer Ave, Apt 1S
Chicago, IL 60647-2517

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149.015487 (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 1801200076

Benjamin Fogel, LCSW's National Provider Identifier is 1801200076, issued on Jun 16, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chicago, IL. The record was last updated on Feb 4, 2019.