Andrea Blaylock LCSW

  • NPI 1801149513
According to our database, the NPI number for Andrea Blaylock LCSW is 1801149513 and activated since 11 years ago. Andrea Blaylock LCSW is an individual provider who specializes in Clinical, and the primary practice location is 4611 N Beacon St, Chicago, IL 60640. You can also contact Andrea Blaylock LCSW via telephone number is (312) 882-4817. Provider NPI information was last updated on 10/18/2012.

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Overview of Andrea Blaylock LCSW

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 10/18/2012
  • Last updated: 10/18/2012

Primary Scrop of Practice

  • Taxonomy Code: 1041C0700X
  • Specialty: Clinical
  • License Number: 149-008354
  • License State: IL

Provider Mailing Address

  • Address: 4611 N Beacon St
    #1s
    Chicago, IL 60640
  • Phone: 312-882-4817
  • Fax:

Provider Practice Location

  • Address: 4611 N Beacon St
    #1s
    Chicago, IL 60640
  • Phone: 312-882-4817
  • Fax:

Scope of Practice

  • Taxonomy Code: 1041C0700X
  • Specialty: Clinical
  • License Number: 149-008354
  • License State: IL
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 45-2714344
  • Identifier Type: Other
  • Identifier State: IL
  • Issuer: EIN

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Andrea Blaylock LCSW?
  • A: The npi number for Andrea Blaylock LCSW is 1801149513.
  • Q: What are Andrea Blaylock LCSW's specialties?
  • A: Andrea Blaylock LCSW's specialties are Clinical and different specialities.
  • Q: What is the medical license for Andrea Blaylock LCSW?
  • A: The medical license number for Andrea Blaylock LCSW is 149-008354 and issued in IL in USA.
  • Q: Where is Andrea Blaylock LCSW practice location?
  • A: Andrea Blaylock LCSW is practicing at 4611 N Beacon St, Chicago, IL 60640.
  • Q: How to contact Andrea Blaylock LCSW?
  • A: You can contact Andrea Blaylock LCSW via 312-882-4817.