MEDICARE: MS. MALINDA ANN STEELE 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	149002481	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1606183	OTHER		BLUECROSSBLUESHIELD

General Provider Information

NPI Number	:	1407907942
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MALINDA ANN STEELE LCSW

Provider Business Mailing Address
First Line	:	3238 N RICHMOND ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60618-5818
Country	:	US
Telephone Number	:	773-754-8150
Fax Number	:

Provider Business Practice Location Address
First Line	:	3238 N RICHMOND ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60618-5818
Country	:	US
Telephone Number	:	773-754-8150
Fax Number	:

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

Provider Enumeration Date	:	01/12/2007
Last Update Date	:	05/16/2024

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