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NPI Code Detail

MEDICARE: ABBEY ELIZABETH METZLER LCSW

MEDICARE: ABBEY ELIZABETH METZLER 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 Worker149020087IL
21041C0700XClinical Social Worker2022041624MO

General Provider Information

NPI Number : 1659840973
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABBEY ELIZABETH METZLER LCSW
Provider Business Mailing Address
First Line : 332 S MICHIGAN AVE STE 1100
Second Line :
City : CHICAGO
State : IL
Zip : 60604-4416
Country : US
Telephone Number : 888-660-4425
Fax Number :
Provider Business Practice Location Address
First Line : 735 W DIVERSEY PKWY
Second Line :
City : CHICAGO
State : IL
Zip : 60614-2337
Country : US
Telephone Number : 773-348-4055
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2018
Last Update Date : 12/04/2023

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