Healthcare Provider Details

I. General information

NPI: 1679659072
Provider Name (Legal Business Name): CLIFFORD BRICKMAN DN, DCSW, LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/27/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 N MICHIGAN AVE SUITE 1729
CHICAGO IL
60602-3402
US

IV. Provider business mailing address

2800 N LAKE SHORE DR #2215
CHICAGO IL
60657-6232
US

V. Phone/Fax

Practice location:
  • Phone: 773-935-3500
  • Fax: 773-472-1022
Mailing address:
  • Phone: 773-935-3500
  • Fax: 773-472-1022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code172P00000X
TaxonomyNaprapath
License Number
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: