Organization · Type 2 NPI

Stardust Therapy Pllc.

Clinical Social Worker · Skokie, IL

NPI number 1801765490 Active

Practice location

9711 Skokie Blvd Ste H
Skokie, IL 60077-1384

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone 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 1801765490

Stardust Therapy Pllc.'s National Provider Identifier is 1801765490, issued on Nov 1, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Skokie, IL. The record was last updated on Nov 1, 2025.