MEDICARE: ARISDELSI CERVANTES 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
1	104100000X	Social Worker	150105723	IL
2	1041C0700X	Clinical Social Worker	149026071	IL

General Provider Information

NPI Number	:	1972235828
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARISDELSI CERVANTES LCSW

Provider Business Mailing Address
First Line	:	7808 W COLLEGE DR STE 2W
Second Line	:
City	:	PALOS HEIGHTS
State	:	IL
Zip	:	60463-1098
Country	:	US
Telephone Number	:	708-361-5110
Fax Number	:	708-361-5305

Provider Business Practice Location Address
First Line	:	7808 W COLLEGE DR STE 2W
Second Line	:
City	:	PALOS HEIGHTS
State	:	IL
Zip	:	60463-1098
Country	:	US
Telephone Number	:	708-361-5110
Fax Number	:	708-361-5305

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

Provider Enumeration Date	:	06/29/2022
Last Update Date	:	04/15/2026

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Directions to “ ARISDELSI CERVANTES LCSW” Practice Location

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