MEDICARE: MS. MARCY G PRITZEN L.C.S.W.

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
1	1041C0700X	Clinical Social Worker	149005331	IL

General Provider Information

NPI Number	:	1952452328
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARCY G PRITZEN L.C.S.W.

Provider Business Mailing Address
First Line	:	3295 N ARLINGTON HEIGHTS RD STE 109
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004-1588
Country	:	US
Telephone Number	:	847-636-6364
Fax Number	:	847-516-5715

Provider Business Practice Location Address
First Line	:	3295 N ARLINGTON HEIGHTS RD STE 109
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004-1588
Country	:	US
Telephone Number	:	847-636-6364
Fax Number	:	847-516-5715

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/14/2007
Last Update Date	:	09/03/2021

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