Individual provider · Type 1 NPI

Jack D. Neiditch, L.C.S.W.

Clinical Social Worker · Chicago, IL

NPI number 1861711541 Active

Practice location

3656 N Halsted St
Chicago, IL 60613-5974

Mailing address

700 W Bittersweet Pl, Unit 606
Chicago, IL 60613-2354

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149-009897 (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 1861711541

Jack D. Neiditch, L.C.S.W.'s National Provider Identifier is 1861711541, issued on May 20, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chicago, IL. The record was last updated on May 20, 2010.