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MICHAEL MUDGETT LCSW
NPI 1134536865
Social Worker - Clinical in Chicago, IL

Active since July 15, 2014
5524 W HARRISON ST, CHICAGO, IL 60644(773) 854-5073(773) 379-0971 Get Directions Write a Review

NPPES record last updated: January 31, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael Mudgett Lcsw NPPES

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

MICHAEL MUDGETT LCSW (NPI 1134536865) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149.018688) and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1134536865
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMICHAEL MUDGETTCredential: LCSW
Location Address5524 W HARRISON STChicago, IL 60644-5032
Mailing Address645 S Central AveChicago, IL 60644-5059
Phone(773) 854-5073
Fax(773) 379-0971
Sole ProprietorNo
Enumeration DateJuly 15, 2014
Last NPPES UpdateJanuary 31, 2017
✔ NPI 1134536865 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 · 149.018688
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.
5524 W HARRISON ST, Chicago, IL 60644
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Other Identifiers 1

Other383274841Commercial Insurance

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. PAUL D EVERETT JR.
Social Worker (Clinical)
5524 W HARRISON ST
CHICAGO, IL 60644
Cook County (773) 854-5077
ROSALYN BATES L.C.P.C
Counselor (Professional)
5524 W HARRISON ST, OUTPATIENT MENTAL HEALTH
CHICAGO, IL 60644
Cook County (773) 854-5290

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 Michael Mudgett's NPI number?

The NPI number for Michael Mudgett is 1134536865. It was assigned to this individual provider in the NPPES registry on July 15, 2014.

Where is Michael Mudgett located?

Michael Mudgett practices at 5524 W Harrison St, Chicago, IL 60644. The listed phone number is (773) 854-5073.

What is Michael Mudgett'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 Michael Mudgett was last updated on January 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.