Joseph Martin Basso III, LCSW, CADC
Social Worker, Clinical in Chicago, IL. Individual provider (NPI-1).
NPI number1174416366
StatusActive
Last updated in NPPESJun 4, 2025
Details
- NPI
- 1174416366
- Entity type
- Individual (NPI-1)
- Name
- Mr. Joseph Martin Basso III
- Credential
- LCSW, CADC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 29, 2025
- Certification date
- Jun 4, 2025
- Last updated
- Jun 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 149.029052 | IL | Yes |
Practice location
111 W Jackson Blvd Ste 1700Chicago, IL 60604-3597
Phone 646-941-7645 · Fax 929-596-7897
Mailing address
111 W Jackson Blvd Ste 1700Chicago, IL 60604-3597
Phone 646-941-7645 · Fax 929-596-7897
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