Sheila N Nissim, L.C.S.W.
Social Worker, Clinical in Chicago, IL. Individual provider (NPI-1).
NPI number1457418436
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1457418436
- Entity type
- Individual (NPI-1)
- Name
- Sheila N Nissim
- Credential
- L.C.S.W.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 2, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 149-010372 | IL | Yes |
Practice location
3166 N Lincoln Ave#214a
Chicago, IL 60657-3133
Phone 773-209-5788
Mailing address
1431 W Granville Ave#3
Chicago, IL 60660-1809
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