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Cody Berillo, LCSW

Social Worker, Clinical in Rockford, IL. Individual provider (NPI-1).

NPI number1871292995
StatusActive
Last updated in NPPESFeb 27, 2023

Details

NPI
1871292995
Entity type
Individual (NPI-1)
Name
Cody Berillo
Credential
LCSW
Sex
Female
Sole proprietor
No
Enumeration date
Feb 27, 2023
Certification date
Feb 27, 2023
Last updated
Feb 27, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical149025210ILYes

Practice location

6392 Linden Rd
Rockford, IL 61109-2816

Phone 779-368-0060

Mailing address

6392 Linden Rd
Rockford, IL 61109-2816

Phone 779-368-0060

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