Nicole Chirillo, LCSW
Social Worker, Clinical in Chicago, IL. Individual provider (NPI-1).
NPI number1164074035
StatusActive
Last updated in NPPESFeb 20, 2024
Details
- NPI
- 1164074035
- Entity type
- Individual (NPI-1)
- Name
- Nicole Chirillo
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 11, 2019
- Certification date
- Feb 20, 2024
- Last updated
- Feb 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 149020560 | IL | Yes |
Practice location
661 W Lake St Ste 2sChicago, IL 60661-1034
Phone 929-457-0234
Mailing address
661 W Lake St Ste 2sChicago, IL 60661-1034
Phone 929-457-0234
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