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General NPI Number Information
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NPI Number | 1669194759
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Entity Type | Individual
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Provider Name | JANIYA LITTLE MSW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/14/2022
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 50 E WASHINGTON ST
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City | CHICAGO
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State | IL
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Zip | 60602-2152
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Country | US
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Telephone | 312-252-9500
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Fax |
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Provider Business Mailing Address
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Address Line | 2011 MORELAND BLVD UNIT 103
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City | CHAMPAIGN
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State | IL
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Zip | 61822-1434
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Country | US
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Telephone | 312-210-4029
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Fax |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149.028813
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License Number State | IL
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