Claudia Dancing, LCSW

Individual provider Active NPI Clinical Social Worker · Winnetka, IL

NPI 1225247828 · NPPES record last updated Sep 13, 2012

Key facts

NPI
1225247828
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
149002519 (IL)
Practice address
510 Walnut St
Winnetka, IL 60093-2645
Phone
(847) 446-6019
NPI assigned
May 21, 2007
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)
No

State licenses

LicenseStateTypeSpecialty
149002519ILMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149002519 IL Yes

Addresses

Primary practice location

510 Walnut St
Winnetka, IL 60093-2645

Mailing address

510 Walnut St
Winnetka, IL 60093-2645
Phone (847) 446-6019

Other providers in Winnetka, IL

All providers in Winnetka, IL · Clinical Social Worker in Illinois

Sources for this page

Verify at the official NPI Registry.