Individual provider · Type 1 NPI

Benjamin Severance, LCSW

Clinical Social Worker · Chicago, IL

NPI number 1902178379 Active

Practice location

1203 W Augusta Blvd Ste 1
Chicago, IL 60642-4327

Call (773) 248-2255 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149020763 (IL)
Counselor 101Y00000XNone 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 1902178379

Benjamin Severance, LCSW's National Provider Identifier is 1902178379, issued on Feb 1, 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 3, 2025.