Healthcare Provider Details

I. General information

NPI: 1265876882
Provider Name (Legal Business Name): HANNAH G AUGER MSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2013
Last Update Date: 01/12/2024
Certification Date: 01/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4212 W IRVING PARK RD
CHICAGO IL
60641-2935
US

IV. Provider business mailing address

6321 N AVONDALE AVE STE 204
CHICAGO IL
60631-1961
US

V. Phone/Fax

Practice location:
  • Phone: 773-774-4444
  • Fax:
Mailing address:
  • Phone: 773-774-4444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number149016845
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: