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NPI Code Detail

MEDICARE: ALEXANDRIA WELSH LSW

MEDICARE: ALEXANDRIA WELSH LSW
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 Worker149.031584IL

General Provider Information

NPI Number : 1942020482
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRIA WELSH LSW
Provider Business Mailing Address
First Line : 5550 TOUHY AVE STE 404
Second Line :
City : SKOKIE
State : IL
Zip : 60077-3227
Country : US
Telephone Number : 847-329-9210
Fax Number :
Provider Business Practice Location Address
First Line : 5550 TOUHY AVE STE 404
Second Line :
City : SKOKIE
State : IL
Zip : 60077-3227
Country : US
Telephone Number : 847-329-9210
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2024
Last Update Date : 03/19/2026

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