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NPI Code Detail

MEDICARE: CAROLYN WEISMAN LCSW PLLC

MEDICARE: CAROLYN WEISMAN LCSW PLLC
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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1043147846
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAROLYN WEISMAN LCSW PLLC
Provider Business Mailing Address
First Line : 2912 N CENTRAL PARK AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60618-7305
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2912 N CENTRAL PARK AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60618-7305
Country : US
Telephone Number : 224-269-0982
Fax Number :
Authorized Official
Title or Position : THERAPIST AND PRACTICE OWNER
Name : CAROLYN WEISMAN
Credential : LCSW CADC
Telephone Number : 224-269-0982
Provider Enumeration Date : 05/06/2026
Last Update Date : 05/06/2026

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