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NPI Code Detail

MEDICARE: CAROLINE G DANIELS MSW, LSW

MEDICARE:   CAROLINE G DANIELS  MSW, LSW
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
1104100000XSocial Worker150.116328IL

General Provider Information

NPI Number : 1023870185
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLINE G DANIELS MSW, LSW
Provider Business Mailing Address
First Line : 1623 W BELMONT AVE APT 3I
Second Line :
City : CHICAGO
State : IL
Zip : 60657-3009
Country : US
Telephone Number : 630-877-5771
Fax Number :
Provider Business Practice Location Address
First Line : 1623 W BELMONT AVE APT 3I
Second Line :
City : CHICAGO
State : IL
Zip : 60657-3009
Country : US
Telephone Number : 630-877-5771
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2024
Last Update Date : 03/10/2026

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Directions to “ CAROLINE G DANIELS MSW, LSW” Practice Location

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