Individual provider · Type 1 NPI
Julie A. Supple, LCSW
Clinical Social Worker · Chicago, IL
Practice location
5537 N Broadway St
Chicago, IL 60640-1405
Fax (773) 989-9494
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | 34003062A (IN) |
| Clinical Social Worker Primary | 1041C0700X | 34003062A (IN) |
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 1831464510
Julie A. Supple, LCSW's National Provider Identifier is 1831464510, issued on Mar 14, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chicago, IL. The record was last updated on Mar 14, 2012.