Christine Cusack, LCSW, BCBA
Social Worker, Clinical in Lombard, IL. Individual provider (NPI-1).
NPI number1144077306
StatusActive
Last updated in NPPESMay 3, 2024
Details
- NPI
- 1144077306
- Entity type
- Individual (NPI-1)
- Name
- Christine Cusack
- Credential
- LCSW, BCBA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 3, 2024
- Certification date
- May 3, 2024
- Last updated
- May 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 149.018421 | IL | Yes |
| 103K00000X | Behavior Analyst | 1-22-58906 | IL |
Practice location
422 S Main St Unit 2040Lombard, IL 60148-2600
Phone 630-791-0995
Mailing address
2105 S Finley Rd Apt 112Lombard, IL 60148-6451
Phone 312-859-5357
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