Maryclaire Ahlgren, LSW
Individual provider Active NPI Social Worker · Oak Park, IL
NPI 1245071349 · NPPES record last updated Jun 3, 2024
Key facts
- NPI
- 1245071349
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 150.113525 (IL)
- Practice address
- 820 North Blvd
Oak Park, IL 60301-1351 - Phone
- (708) 524-2445
- NPI assigned
- Jun 3, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150.113525 | IL | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empower Family Therapy, LLC. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 150.113525 | IL | Yes |
Addresses
Primary practice location
820 North Blvd
Oak Park, IL 60301-1351
Mailing address
820 North Blvd
Oak Park, IL 60301-1351
Phone (708) 524-2445
Other providers in Oak Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.