PROJECT VIDA, INC. is a clinical social worker in Chicago, IL. The provider is 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. PROJECT VIDA, INC. NPI is 1285167577. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
2659 S KEDVALE AVE
CHICAGO, IL
ZIP 60623-322
Phone: (773) 277-2291
The provider's authorized official is Jerome Montgomery .
The authorized official title is Executive Director and has the following contact phone number (773) 277-2291.
The CLIA number assigned to this NPI record is 14D1023970 - other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/4/2017 and was last updated on 4/4/2017.