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NPI Code Detail

MEDICARE: MOLLY FELDHEIM LCSW

MEDICARE: MOLLY FELDHEIM 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 Worker

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1366955056
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOLLY FELDHEIM LCSW
Provider Business Mailing Address
First Line : 2444 VIOLET ST
Second Line :
City : GLENVIEW
State : IL
Zip : 60026-8032
Country : US
Telephone Number : 847-946-6491
Fax Number :
Provider Business Practice Location Address
First Line : 25 E WASHINGTON ST STE 1835
Second Line :
City : CHICAGO
State : IL
Zip : 60602-1836
Country : US
Telephone Number : 847-451-5065
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2017
Last Update Date : 04/13/2022

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