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MARY KATHERINE BOHANNON LCSW
NPI 1063761070
Social Worker - Clinical in Chicago, IL

Active since September 05, 2012
1842 N SPAULDING AVE APT 3, CHICAGO, IL 60647(773) 826-9927 Get Directions Write a Review

NPPES record last updated: September 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Katherine Bohannon Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY KATHERINE BOHANNON LCSW (NPI 1063761070) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149.017345) and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1063761070
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY KATHERINE BOHANNONCredential: LCSW
Location Address1842 N SPAULDING AVE APT 3Chicago, IL 60647-0174
Mailing Address1842 N Spaulding Ave Apt 3Chicago, IL 60647-0174 · (773) 826-9927
Phone(773) 826-9927
Sole ProprietorYes
Enumeration DateSeptember 5, 2012
Last NPPES UpdateSeptember 15, 2023
NPPES CertifiedSeptember 15, 2023
✔ NPI 1063761070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149.017345
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.
1842 N SPAULDING AVE APT 3, Chicago, IL 60647
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Bohannon's NPI number?

The NPI number for Mary Bohannon is 1063761070. It was assigned to this individual provider in the NPPES registry on September 5, 2012.

Where is Mary Bohannon located?

Mary Bohannon practices at 1842 N Spaulding Ave Apt 3, Chicago, IL 60647. The listed phone number is (773) 826-9927.

What is Mary Bohannon's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Mary Bohannon was last updated on September 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.