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NPI Code Detail

MEDICARE: CHRISTY DARCANGELO LCSW PLLC

MEDICARE: CHRISTY DARCANGELO 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 : 1255184586
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHRISTY DARCANGELO LCSW PLLC
Provider Business Mailing Address
First Line : 5223 W HUTCHINSON ST
Second Line :
City : CHICAGO
State : IL
Zip : 60641-1450
Country : US
Telephone Number : 708-803-2080
Fax Number :
Provider Business Practice Location Address
First Line : 5223 W HUTCHINSON ST
Second Line :
City : CHICAGO
State : IL
Zip : 60641-1450
Country : US
Telephone Number : 708-803-2080
Fax Number :
Authorized Official
Title or Position : PSYCHOTHERAPIST
Name : CHRISTINA DARCANGELO
Credential : LCSW
Telephone Number : 708-803-2080
Provider Enumeration Date : 04/08/2024
Last Update Date : 07/10/2024

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