Gail Ahlfield, LCSW

Individual provider Active NPI Clinical Social Worker · Hoffman Estates, IL

NPI 1194153924 · NPPES record last updated Oct 14, 2013

Key facts

NPI
1194153924
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
149.006733 (IL)
Practice address
1721 Moon Lake Blvd
Suite 150
Hoffman Estates, IL 60169-1069
Phone
(847) 519-3650
Fax
(847) 519-3652
NPI assigned
Oct 14, 2013
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
149.006733ILMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.006733 IL Yes

Addresses

Primary practice location

1721 Moon Lake Blvd
Suite 150
Hoffman Estates, IL 60169-1069

Mailing address

1721 Moon Lake Blvd
Suite 150
Hoffman Estates, IL 60169-1069
Phone (847) 519-3650

Other providers in Hoffman Estates, IL

All providers in Hoffman Estates, IL · Clinical Social Worker in Illinois

Sources for this page

Verify at the official NPI Registry.