SL Adler
Individual provider Active NPI Clinical Social Worker · River Forest, IL
NPI 1710161989 · NPPES record last updated Dec 24, 2007
Key facts
- NPI
- 1710161989
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 39 Park Ave
River Forest, IL 60305-2037 - Phone
- (708) 771-4636
- NPI assigned
- Dec 24, 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
| License | State | Type | Specialty |
|---|---|---|---|
| 149003841 | IL | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | IL | Yes |
Addresses
Primary practice location
39 Park Ave
River Forest, IL 60305-2037
Mailing address
39 Park Ave
River Forest, IL 60305-2037
Other providers in River Forest, IL
- Paul R Abbo
- Accelerated Rehabilitation Centers, LTD
- Advanced Cancer Care Associates Corp
- Saba F Ahmed
- Gary Ferd Alder
- Mirna Alhusseini
- Nicole Alkaraki
All providers in River Forest, 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 Dec 24, 2007. 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.