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NPI Code Detail

MEDICARE: SONIA L. STEVENS, LCSW, LLC

MEDICARE: SONIA L. STEVENS, LCSW, LLC
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

General Provider Information

NPI Number : 1417410879
Entity Type Code : Organization
Provider Name (Legal Business Name) : SONIA L. STEVENS, LCSW, LLC
Provider Business Mailing Address
First Line : 2434 W FARRAGUT AVE APT 2A
Second Line :
City : CHICAGO
State : IL
Zip : 60625-2432
Country : US
Telephone Number : 773-255-1197
Fax Number :
Provider Business Practice Location Address
First Line : 2434 W FARRAGUT AVE APT 2A
Second Line :
City : CHICAGO
State : IL
Zip : 60625-2432
Country : US
Telephone Number : 773-255-1197
Fax Number :
Authorized Official
Title or Position : LCSW
Name : MS. SONIA STEVENS
Credential :
Telephone Number : 773-255-1197
Provider Enumeration Date : 04/11/2019
Last Update Date : 04/11/2019

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Directions to “SONIA L. STEVENS, LCSW, LLC ” Practice Location

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