Organization · Type 2 NPI

Jackie the Social Worker

Community/Behavioral Health Agency · Chicago, IL

NPI number 1639922396 Active

Practice location

4422 N Ravenswood Ave # 1016
Chicago, IL 60640-5803

Fax (888) 690-5661

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1639922396

Jackie the Social Worker's National Provider Identifier is 1639922396, issued on Apr 10, 2024. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Chicago, IL. The record was last updated on Apr 10, 2024.