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NPI Code Detail

MEDICARE: TESS KIHM LCSW

MEDICARE: TESS KIHM 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 Worker150.112667IL
21041C0700XClinical Social Worker149.030961IL

General Provider Information

NPI Number : 1962266791
Entity Type Code : Individual
Provider Name (Legal Business Name) : TESS KIHM LCSW
Provider Business Mailing Address
First Line : 3015 BARRINGTON PL
Second Line :
City : ROCKFORD
State : IL
Zip : 61107-1901
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1806 N DAMEN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60647-5511
Country : US
Telephone Number : 773-270-0469
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2024
Last Update Date : 03/03/2026

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Directions to “ TESS KIHM LCSW” Practice Location

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