person
Mark Steven Samuelson, LCSW
Clinical Social Worker in Evanston, Illinois
NPI 1740322502

Mark Steven Samuelson is a Clinical Social Worker based in Evanston, IL and is specialized in Clinical. Mark Steven Samuelson practices in Evanston, IL and has the professional credentials of LCSW. The NPI Number for Mark Steven Samuelson is 1740322502 and holds a License No. 149000936 (Illinois).

The current practice location address for Mark Steven Samuelson is 2550 Crawford Avenue, Evanston, IL and can be reached out via phone at 847-475-9500 and via fax at 312-782-8276.

Location: 2550 Crawford Avenue, Evanston, IL, 60201-4983
person
Provider Profile Details
NPI Number
1740322502
Provider Name
Mark Steven Samuelson
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
2550 Crawford Avenue, Evanston, IL, 60201-4983
Phone Number
847-475-9500
Fax Number
312-782-8276
Provider Enumeration Date
02/12/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
016-71240 01 IL BLUE CROSS OF ILLINOIS
348588200 01 IL DEPT. OF LABOR OWCP
institution
Provider Business Practice Location Address Details
Address
2550 Crawford Avenue
City
State
Zip
60201-4983
Phone Number
847-475-9500
Fax Number
312-782-8276
person
Provider Business Mailing Address Details
Address
2550 Crawford Avenue
City
State
Zip
60201-4983
Phone Number
847-475-9500
Fax Number
312-782-8276
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
License No.
149000936 (Illinois)
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
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