Tracy A Diehl, LCSW
Case Manager/Care Coordinator in Dekalb, IL. Individual provider (NPI-1).
NPI number1013662881
StatusActive
Last updated in NPPESFeb 19, 2022
Details
- NPI
- 1013662881
- Entity type
- Individual (NPI-1)
- Name
- Tracy A Diehl
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 19, 2022
- Certification date
- Feb 19, 2022
- Last updated
- Feb 19, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Practice location
570 Devonaire PkwyDekalb, IL 60115-8502
Phone 815-761-3382
Mailing address
570 Devonaire PkwyDekalb, IL 60115-8502
Phone 815-761-3382
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