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NPI Code Detail

MEDICARE: SHERRI NAHIN LCSW, CADC

MEDICARE: SHERRI NAHIN LCSW, CADC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor31657IL
21041C0700XClinical Social Worker149017790IL

General Provider Information

NPI Number : 1720527229
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHERRI NAHIN LCSW, CADC
Provider Business Mailing Address
First Line : 70 W HURON ST APT 407
Second Line :
City : CHICAGO
State : IL
Zip : 60654-5333
Country : US
Telephone Number : 312-925-7295
Fax Number :
Provider Business Practice Location Address
First Line : 1901 W HARRISON ST
Second Line :
City : CHICAGO
State : IL
Zip : 60612-3714
Country : US
Telephone Number : 312-864-7760
Fax Number : 312-864-9705
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2017
Last Update Date : 02/16/2017

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