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General NPI Number Information
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NPI Number | 1558407403
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Entity Type | Individual
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Provider Name | MARY CRICK LCSW, CSADC, PCGC
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Gender | Female
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 737 SOUTH 8TH STREET CENTURY PLAZA
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City | WEST DUNDEE
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State | IL
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Zip | 60118
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Country | US
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Telephone | 847-791-4384
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Fax | 847-426-5384
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Provider Business Mailing Address
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Address Line | 309 PHEASANT TRL
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City | LAKE IN THE HILLS
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State | IL
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Zip | 60156-1357
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Country | US
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Telephone | 847-791-4384
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Fax | 847-426-5384
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 12267
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | A-5029-0006-A
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149.27644
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License Number State | IL
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