Individual provider · Type 1 NPI

Stefanie Dominik, LCSW

Clinical Social Worker · Chicago, IL

NPI number 1972164929 Active

Practice location

3525 W Peterson Ave Ste 605
Chicago, IL 60659-3318

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149021337 (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 1972164929

Stefanie Dominik, LCSW's National Provider Identifier is 1972164929, issued on Jun 20, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chicago, IL. The record was last updated on Jun 20, 2019.