MEDICARE: EMILY CLAIRE PAPAELIOU 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	149021035	IL

General Provider Information

NPI Number	:	1407496078
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY CLAIRE PAPAELIOU LCSW

Provider Business Mailing Address
First Line	:	119 S. WESTERN AVENUE UNIT 1 #317
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60612-4644
Country	:	US
Telephone Number	:	630-394-9766
Fax Number	:

Provider Business Practice Location Address
First Line	:	119 S. WESTERN AVENUE UNIT 1 #317
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60612-4644
Country	:	US
Telephone Number	:	630-394-9766
Fax Number	:

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

Provider Enumeration Date	:	01/13/2020
Last Update Date	:	09/28/2025

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