Organization Name: | AMY SCHIGELONE PHD LCSW LLC |
NPI Number: | 1013377928 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AMY SCHIGELONE (PRESIDENT) |
Mailing Address: | 1101 Lake St Suite 201 Oak Park |
State: | IL US |
Postal Code: | 603011085 |
Phone Number: | 7084069883 |
Fax Number: | |
NPI Enumeration Date: | 03/04/2016 |
NPI Last Update Date: | 03/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 149.016912 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |