MEDICARE: MS. MARIA S DELEON 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	149.007009	IL

General Provider Information

NPI Number	:	1700208493
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARIA S DELEON LCSW

Provider Business Mailing Address
First Line	:	1810 CUYLER AVE
Second Line	:
City	:	BERWYN
State	:	IL
Zip	:	60402-2052
Country	:	US
Telephone Number	:	708-715-7071
Fax Number	:

Provider Business Practice Location Address
First Line	:	1810 CUYLER AVE
Second Line	:
City	:	BERWYN
State	:	IL
Zip	:	60402-2052
Country	:	US
Telephone Number	:	708-715-7071
Fax Number	:

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

Provider Enumeration Date	:	01/14/2014
Last Update Date	:	01/18/2026

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