Healthcare Provider Details

I. General information

NPI: 1396869269
Provider Name (Legal Business Name): MARIA V. VASICH L.C.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARIA VASICH M.S.W.

II. Dates (important events)

Enumeration Date: 03/18/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1724 CLYDE DR
NAPERVILLE IL
60565-2302
US

IV. Provider business mailing address

1724 CLYDE DR
NAPERVILLE IL
60565-2302
US

V. Phone/Fax

Practice location:
  • Phone: 630-527-8229
  • Fax:
Mailing address:
  • Phone: 630-527-8229
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: