Individual provider · Type 1 NPI

Penelope A. Andersen, LCSW, LMFT, MSW

Clinical Social Worker · Glen Ellyn, IL

NPI number 1821167982 Active

Practice location

516 N Main St Ste A
Glen Ellyn, IL 60137-5175

Fax (630) 858-5569

Mailing address

910 Ellynwood Dr
Glen Ellyn, IL 60137-4218

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149009657 (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 1821167982

Penelope A. Andersen, LCSW, LMFT, MSW's National Provider Identifier is 1821167982, issued on Nov 6, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Glen Ellyn, IL. The record was last updated on Jul 8, 2007.