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NPI Code Detail

MEDICARE: MERCEDES HERRERA LCSW

MEDICARE: MERCEDES HERRERA 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 Worker149.025215IL
2104100000XSocial Worker150.103417IL

General Provider Information

NPI Number : 1598304255
Entity Type Code : Individual
Provider Name (Legal Business Name) : MERCEDES HERRERA LCSW
Provider Business Mailing Address
First Line : 310 N LOOMIS ST
Second Line :
City : CHICAGO
State : IL
Zip : 60607-1147
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1233 W ADAMS ST
Second Line :
City : CHICAGO
State : IL
Zip : 60607-2801
Country : US
Telephone Number : 312-241-1204
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2019
Last Update Date : 04/01/2024

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Directions to “ MERCEDES HERRERA LCSW” Practice Location

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