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NPI Code Detail

MEDICARE: KANDICE NICOLE RICHARDS-LANZA LCSW

MEDICARE: KANDICE NICOLE RICHARDS-LANZA 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
11041C0700XClinical Social Worker149.028734IL

General Provider Information

NPI Number : 1750926804
Entity Type Code : Individual
Provider Name (Legal Business Name) : KANDICE NICOLE RICHARDS-LANZA LCSW
Provider Business Mailing Address
First Line : 24014 W RENWICK RD STE 105-5
Second Line :
City : PLAINFIELD
State : IL
Zip : 60544-8708
Country : US
Telephone Number : 815-200-1099
Fax Number :
Provider Business Practice Location Address
First Line : 1001 ROHLWING RD
Second Line :
City : ELK GROVE VILLAGE
State : IL
Zip : 60007-3217
Country : US
Telephone Number : 847-524-8824
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2019
Last Update Date : 02/10/2026

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Directions to “ KANDICE NICOLE RICHARDS-LANZA LCSW” Practice Location

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