Emily Jones Simon Rosenbloom, LCSW
Social Worker, Clinical in Chicago, IL. Individual provider (NPI-1).
NPI number1982240255
StatusActive
Last updated in NPPESFeb 18, 2022
Details
- NPI
- 1982240255
- Entity type
- Individual (NPI-1)
- Name
- Emily Jones Simon Rosenbloom
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 21, 2019
- Certification date
- Feb 18, 2022
- Last updated
- Feb 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 149.021569 | IL | Yes |
Practice location
3436 N Bell Ave Apt 1Chicago, IL 60618-6002
Phone 773-717-2502
Mailing address
3436 N Bell Ave # 1Chicago, IL 60618-6002
Phone 520-338-6407
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