Samantha Greenwald, LCPC, CADC
Counselor, Mental Health in Chicago, IL. Individual provider (NPI-1).
NPI number1982178059
StatusActive
Last updated in NPPESMar 22, 2019
Details
- NPI
- 1982178059
- Entity type
- Individual (NPI-1)
- Name
- Ms. Samantha Greenwald
- Credential
- LCPC, CADC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 11, 2019
- Last updated
- Mar 22, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 180011499 | IL | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 35109 | IL |
Practice location
6033 N Sheridan Rd Ste 4Chicago, IL 60660-3003
Phone 773-359-3505 · Fax 312-489-8138
Mailing address
1718 W Beach AveChicago, IL 60622-2108
Phone 847-227-7162
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