Individual provider · Type 1 NPI

Traci Melinda Fertel

Clinical Social Worker · Plainfield, IL

NPI number 1902962178 Active

Practice location

13300 Division, Suite B7
Plainfield, IL 60585

Mailing address

1427 W Summerdale Ave, #3A
Chicago, IL 60640-2127

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149-001920 (IL)
School Social Worker 1041S0200X149-001920 (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 1902962178

Traci Melinda Fertel's National Provider Identifier is 1902962178, issued on Dec 29, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Plainfield, IL. The record was last updated on May 17, 2010.