Victoria Grace Maurice
Individual provider Active NPI Clinical Social Worker · Village of Lakewood, IL
NPI 1437604253 · NPPES record last updated Aug 22, 2016
Key facts
- NPI
- 1437604253
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- M62086796963 (IL)
- Practice address
- 455 Huntley Rd
Village of Lakewood, IL 60014-5318 - Phone
- (847) 275-4171
- NPI assigned
- Aug 22, 2016
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| M62086796963 | IL | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | M62086796963 | IL | Yes |
Addresses
Primary practice location
455 Huntley Rd
Village of Lakewood, IL 60014-5318
Mailing address
455 Huntley Rd
Village of Lakewood, IL 60014-5318
Phone (847) 275-4171
Other providers in Village of Lakewood, IL
- Sara R Butler
- Kayla Lynn Dalman
- Susan Lynn Kapustka
- Leix Dental PC
- Nirvana L Leix
- Ashleigh Mauro
- Shannan McNamara
- Mindful Growth Psychological Services LLC
- Rachel Mitchell
- Brittany Marie Parisot-Sebby
All providers in Village of Lakewood, IL · Clinical Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2016. 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.