Individual provider · Type 1 NPI

Tyler Goodwine, LCSW

Clinical Social Worker · Niles, IL

NPI number 1992148548 Active

Practice location

7646 N Waukegan Rd
Niles, IL 60714-3242

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149015767 (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 1992148548

Tyler Goodwine, LCSW's National Provider Identifier is 1992148548, issued on Apr 14, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Niles, IL. The record was last updated on Apr 14, 2013.