Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Therese Otoole, LICSW

Individual provider Clinical Social Worker · NPI 1679353403

Therese Otoole, LICSW is a Clinical Social Worker in Evanston, Illinois. Practices as a sole proprietor. Licensed in Vermont.

Licensed in
VT
In the registry since
2023
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

618 Elmwood Ave Apt 1
Evanston, IL 60202-4129
Phone: (630) 337-6161
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 089.0135349 (VT)

Record details

NPI number1679353403
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedSeptember 29, 2023
Last updated in NPPESSeptember 29, 2023
Certification dateSeptember 29, 2023

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