MEDICARE: KARINA OROZCO 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
1	1041C0700X	Clinical Social Worker	149.024483	IL

General Provider Information

NPI Number	:	1336882513
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARINA OROZCO LCSW

Provider Business Mailing Address
First Line	:	4131 W BELMONT AVE UNIT 211
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60641-4628
Country	:	US
Telephone Number	:	312-888-0265
Fax Number	:

Provider Business Practice Location Address
First Line	:	4131 W BELMONT AVE UNIT 211
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60641-4628
Country	:	US
Telephone Number	:	312-888-0265
Fax Number	:

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

Provider Enumeration Date	:	04/15/2022
Last Update Date	:	02/01/2025

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