MEDICARE: TESS BRIEVA

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	149.030540	IL

General Provider Information

NPI Number	:	1184593824
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TESS BRIEVA

Provider Business Mailing Address
First Line	:	1020 W BRYN MAWR AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60660-4627
Country	:	US
Telephone Number	:	773-234-9528
Fax Number	:

Provider Business Practice Location Address
First Line	:	1020 W BRYN MAWR AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60660-4627
Country	:	US
Telephone Number	:	773-234-9528
Fax Number	:

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

Provider Enumeration Date	:	10/31/2025
Last Update Date	:	10/31/2025

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Directions to “ TESS BRIEVA ” Practice Location

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