Rachel Marie Carter, LCSW

Individual provider Active NPI Clinical Social Worker · Addison, IL

NPI 1710487129 · NPPES record last updated Feb 15, 2018

Key facts

NPI
1710487129
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
149.014430 (IL)
Practice address
2055 W Army Trail Rd Ste 140
Addison, IL 60101-1478
Phone
(312) 229-7247
NPI assigned
Feb 13, 2018
Sex
Female
Sole proprietor
No

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
149.014430ILMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.014430 IL Yes

Addresses

Primary practice location

2055 W Army Trail Rd Ste 140
Addison, IL 60101-1478

Mailing address

2540 N Talman Ave
Chicago, IL 60647-1812

Other names

  • Mrs. Rachel Marie Hines Other name

Other providers in Addison, IL

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

Sources for this page

Verify at the official NPI Registry.