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NPI Code Detail

MEDICARE: ANNE CARTER LCSW, CADC

MEDICARE: ANNE CARTER LCSW, CADC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor31655IL
21041C0700XClinical Social Worker149019242IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
131655OTHERILCADC
2149019242OTHERILLCSW

General Provider Information

NPI Number : 1053703603
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNE CARTER LCSW, CADC
Provider Business Mailing Address
First Line : 30 N MICHIGAN AVE STE 424
Second Line :
City : CHICAGO
State : IL
Zip : 60602-3844
Country : US
Telephone Number : 312-279-9981
Fax Number : 312-279-9981
Provider Business Practice Location Address
First Line : 30 N MICHIGAN AVE STE 424
Second Line :
City : CHICAGO
State : IL
Zip : 60602-3844
Country : US
Telephone Number : 312-279-9981
Fax Number : 312-279-9981
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2015
Last Update Date : 10/13/2022

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Directions to “ ANNE CARTER LCSW, CADC” Practice Location

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