MEDICARE: ELABORATE COUNSELING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1003580218
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELABORATE COUNSELING LLC

Provider Business Mailing Address
First Line	:	3508 W CORTLAND ST APT 4N
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-4855
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3508 W CORTLAND ST APT 4N
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-4855
Country	:	US
Telephone Number	:	773-359-3464
Fax Number	:

Authorized Official
Title or Position	:	CO-FOUNDER/PSYCHOTHERAPIST
Name	:	MARLA MICOR
Credential	:	LCSW
Telephone Number	:	312-618-4708

Provider Enumeration Date	:	08/03/2021
Last Update Date	:	02/18/2026

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