Thomas Southerland
Thomas Southerland is a Clinical Social Worker in Chicago, Illinois. Graduated from University of North Carolina at Chapel Hill School of Medicine in 2012, 14 years ago. Practices with Midwest Family and Community Resources PC, a 10-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 14
- Trained at
- University of North Carolina at Chapel Hill School of Medicine
- Licensed in
- IL
- In the registry since
- 2018
Practice location Address checks out
1901 W Harrison StChicago, IL 60612
Phone: (312) 864-2000
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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 149017033 (IL) |
|---|
Record details
| NPI number | 1447752324 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 6, 2018 |
| Last updated in NPPES | September 5, 2019 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE |
| Graduated | 2012 (14 years in practice) |
| Group practice | Midwest Family And Community Resources Pc — 10 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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