MEDICARE: BRIDGET ELIZABETH GOTTLIEB LMSW, LCSW

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	149016258	IL
2	1041C0700X	Clinical Social Worker	6801089176	MI

General Provider Information

NPI Number	:	1023596087
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIDGET ELIZABETH GOTTLIEB LMSW, LCSW

Provider Business Mailing Address
First Line	:	1636 N WELLS ST APT 3411
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60614-6025
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1636 N WELLS ST APT 3411
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60614-6025
Country	:	US
Telephone Number	:	616-560-6701
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2018
Last Update Date	:	08/01/2018

Similar Medicare Providers

1588185987 — JAMIE NANAVATI MS, CCC-SLP
Practice Location Address:

1636 N WELLS ST APT 3214
CHICAGO, IL
60614-6025

Practice Phone: 708-278-0035
Practice Fax:

1053505818 — MS. KIMBERLY JOYCE GOODMAN D.T.
Practice Location Address:

8319 S HAMILTON AVE
CHICAGO, IL
60620-6025

Practice Phone: 773-507-0795
Practice Fax: 773-881-1753

1073893715 — DINGYU LI PHARMACIST
Practice Location Address:

3304 S OAKLEY AVE
CHICAGO, IL
60608-6025

Practice Phone: 312-504-6179
Practice Fax:

1477024990 — HOLLIS ADA LOUISE THOMANN
Practice Location Address:

6025 N PAULINA ST
CHICAGO, IL
60660-2307

Practice Phone: 773-732-7559
Practice Fax:

1164045456 — YONG CHANG DDS PC.
Practice Location Address:

3531 N WESTERN AVE UNIT B
CHICAGO, IL
60618-6025

Practice Phone: 773-796-5928
Practice Fax:

1346823598 — MELISSA M MUNROE
Practice Location Address:

8526 S SAINT LAWRENCE AVE
CHICAGO, IL
60619-6025

Practice Phone: 773-269-7240
Practice Fax:

Directions to “ BRIDGET ELIZABETH GOTTLIEB LMSW, LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.