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NPI Code Detail

MEDICARE: CHANTE DENISE WOODS LCSW

MEDICARE: CHANTE DENISE WOODS 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
1104100000XSocial Worker150102119IL
21041C0700XClinical Social Worker149021220IL

General Provider Information

NPI Number : 1831689462
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHANTE DENISE WOODS LCSW
Provider Business Mailing Address
First Line : 9906 S LOWE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60628-1040
Country : US
Telephone Number : 773-556-5698
Fax Number :
Provider Business Practice Location Address
First Line : 1136 S DELANO CT W STE B201
Second Line :
City : CHICAGO
State : IL
Zip : 60605-3734
Country : US
Telephone Number : 708-942-1716
Fax Number : 872-401-6200
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2018
Last Update Date : 03/23/2020

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Directions to “ CHANTE DENISE WOODS LCSW” Practice Location

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