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General NPI Number Information
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NPI Number | 1932064995
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Entity Type | Individual
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Provider Name | KARLA SORIANO LCSW
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Gender | Female
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Dates
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Enumeration Date | 12/22/2025
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 3020 N KIMBALL AVE
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City | CHICAGO
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State | IL
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Zip | 60618-6812
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Country | US
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Telephone | 773-395-6100
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Fax |
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Provider Business Mailing Address
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Address Line | 1441 W 18TH ST
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City | CHICAGO
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State | IL
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Zip | 60608-3050
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Country | US
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Telephone | 708-600-2182
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 49.029346
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License Number State | IL
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