MEDICARE: ARIEL CHRISTINE FLEENARY 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	149029849	IL

General Provider Information

NPI Number	:	1639961618
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARIEL CHRISTINE FLEENARY LCSW

Provider Business Mailing Address
First Line	:	1313 W LELAND AVE APT 3
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-4886
Country	:	US
Telephone Number	:	313-428-5008
Fax Number	:

Provider Business Practice Location Address
First Line	:	1011 W WELLINGTON AVE STE 210
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-7187
Country	:	US
Telephone Number	:	312-667-1415
Fax Number	:

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

Provider Enumeration Date	:	05/19/2025
Last Update Date	:	09/01/2025

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