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NPI Code Detail

MEDICARE: LEAH E NUETZEL HAPP LCSW

MEDICARE:   LEAH E NUETZEL HAPP  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
1104100000XSocial Worker150.102074IL
21041C0700XClinical Social Worker149.020454IL

General Provider Information

NPI Number : 1346786555
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEAH E NUETZEL HAPP LCSW
Provider Business Mailing Address
First Line : 1000 W DIVERSEY
Second Line : SUITE 275
City : CHICAGO
State : IL
Zip : 60614-1879
Country : US
Telephone Number : 773-281-7200
Fax Number :
Provider Business Practice Location Address
First Line : 1000 W DIVERSEY
Second Line : SUITE 275
City : CHICAGO
State : IL
Zip : 60614-1879
Country : US
Telephone Number : 773-281-7200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2017
Last Update Date : 11/30/2021

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Directions to “ LEAH E NUETZEL HAPP LCSW” Practice Location

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