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Clinical Social Worker · Chicago, IL

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At a glance

441 E Erie St Apt 2113, Chicago, IL 60611-7121

NPPES record updated Jul 13, 2020. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

441 E Erie St Apt 2113
Chicago, IL 60611-7121
Professional details: NPI, taxonomy & registry record
NPI1790303089
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Registry details

Primary taxonomy
Clinical Social Worker
Taxonomy code
1041C0700X
Enumeration date
Jul 13, 2020
Record updated
Jul 13, 2020
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Clinical Social Worker

1041C0700X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

441 E Erie St Apt 2113
Chicago, IL 60611-7121
Phone
(661) 678-3250
Mailing address
441 E ERIE ST APT 2113

CHICAGO, IL 606117121
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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