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NPI Code Detail

MEDICARE: ALISON CASIE CHRUSCINSKI LCSW

MEDICARE: ALISON CASIE CHRUSCINSKI LCSW
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 Worker149016224IL

General Provider Information

NPI Number : 1457845505
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALISON CASIE CHRUSCINSKI LCSW
Provider Business Mailing Address
First Line : 850 W IRVING PARK RD
Second Line : 525
City : CHICAGO
State : IL
Zip : 60613-3077
Country : US
Telephone Number : 773-975-6775
Fax Number :
Provider Business Practice Location Address
First Line : 850 W IRVING PARK RD
Second Line :
City : CHICAGO
State : IL
Zip : 60613-3077
Country : US
Telephone Number : 773-975-6775
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2018
Last Update Date : 01/12/2026

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