Individual provider · Type 1 NPI

Samantha R. Fitzwater

Clinical Social Worker · Skokie, IL

NPI number 1891669412 Active

Practice location

4905 Old Orchard Ctr Ste 521
Skokie, IL 60077-4736

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
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 1891669412

Samantha R. Fitzwater's National Provider Identifier is 1891669412, issued on Oct 6, 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 Oct 6, 2025.