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NPI Code Detail

MEDICARE: BARBARA SAMUELS LCSW

MEDICARE:   BARBARA  SAMUELS  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 Worker

General Provider Information

NPI Number : 1851365159
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA SAMUELS LCSW
Provider Business Mailing Address
First Line : 2502 N CLARK ST
Second Line : SUITE 213
City : CHICAGO
State : IL
Zip : 60614-1850
Country : US
Telephone Number : 773-404-0160
Fax Number : 773-404-9876
Provider Business Practice Location Address
First Line : 2502 N CLARK ST
Second Line : SUITE 213
City : CHICAGO
State : IL
Zip : 60614-1850
Country : US
Telephone Number : 773-404-0160
Fax Number : 773-404-9876
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2006
Last Update Date : 11/15/2007

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Directions to “ BARBARA SAMUELS LCSW” Practice Location

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