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NPI Code Detail

MEDICARE: CARISSA TOVIESSI

MEDICARE: CARISSA TOVIESSI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker0904016997VA
21041C0700XClinical Social Worker54668TX

General Provider Information

NPI Number : 1184190928
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARISSA TOVIESSI
Provider Business Mailing Address
First Line : 175 E HAWTHORN PKWY STE 235
Second Line :
City : VERNON HILLS
State : IL
Zip : 60061-1454
Country : US
Telephone Number : 847-737-8768
Fax Number : 847-859-5885
Provider Business Practice Location Address
First Line : 422 E LAMAR BLVD STE 108
Second Line :
City : ARLINGTON
State : TX
Zip : 76011-3604
Country : US
Telephone Number : 817-751-7802
Fax Number : 847-859-5885
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2018
Last Update Date : 01/08/2026

Similar Medicare Providers

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1548755655 — CHAVARA HAMILTON LPC
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1740846781 — CASSANDRA BROWN LDN
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1609420066 — ALISSIA HAGGARD LPC-I
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Directions to “ CARISSA TOVIESSI ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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