MEDICARE: LAURA L TRAPANI 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	101Y00000X	Counselor

General Provider Information

NPI Number	:	1780198234
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA L TRAPANI LCSW

Provider Business Mailing Address
First Line	:	1816 W WABANSIA AVE UNIT 1
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60622-1333
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1816 W WABANSIA AVE UNIT 1
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60622-1333
Country	:	US
Telephone Number	:	303-619-2353
Fax Number	:

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

Provider Enumeration Date	:	11/20/2017
Last Update Date	:	11/20/2017

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Directions to “ LAURA L TRAPANI LCSW” Practice Location

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