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NPI 1871250290

NPI 1871250290 : KATIE SCHWARZ LCSW : FRANKFORT, IL

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General NPI Number Information
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    NPI Number           |    1871250290
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    Entity Type          |    Individual 
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    Provider Name        |    KATIE SCHWARZ LCSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/19/2021
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    Last Update Date     |    02/07/2025
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Provider Practice Location Address
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    Address Line         |    28 W NEBRASKA ST UNIT G 
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    City                 |    FRANKFORT
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    State                |    IL
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    Zip                  |    60423-1483
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    Country              |    US
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    Telephone            |    779-529-0784
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    Fax                  |    815-205-4374
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Provider Business Mailing Address
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    Address Line         |    28 W NEBRASKA ST UNIT G 
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    City                 |    FRANKFORT
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    State                |    IL
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    Zip                  |    60423-1483
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    Country              |    US
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    Telephone            |    779-529-0784
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    Fax                  |    815-205-4374
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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        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    149024016
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    License Number State |    IL
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