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NPI Code Detail

MEDICARE: LINZI SWISHER DIAZ LCSW

MEDICARE: LINZI SWISHER DIAZ 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
11041C0700XClinical Social Worker149.018169IL

General Provider Information

NPI Number : 1083169981
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINZI SWISHER DIAZ LCSW
Provider Business Mailing Address
First Line : 2726 W CORTEZ ST APT 2
Second Line :
City : CHICAGO
State : IL
Zip : 60622-6131
Country : US
Telephone Number : 573-795-6132
Fax Number :
Provider Business Practice Location Address
First Line : 30 N MICHIGAN AVE STE 1217
Second Line :
City : CHICAGO
State : IL
Zip : 60602-3732
Country : US
Telephone Number : 573-795-6132
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2016
Last Update Date : 10/05/2022

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Directions to “ LINZI SWISHER DIAZ LCSW” Practice Location

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