Ms Susan Trudeau, LCSW is a
Social Worker - Clinical based in Chicago, Illinois. Ms Susan Trudeau is licensed to practice in Illinois (license number 149.006965) and her current practice location is
4822 N Broadway St, 2nd Floor, Chicago, Illinois. She can be reached at her office (for appointments etc.) via phone at
(773) 433-1253.
NPI number for Ms Susan Trudeau is 1780975011 and her current mailing address is 3727 N Marshfield Ave, #3, Chicago, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1780975011.
Healthcare Provider's Profile
| Full Name | Ms Susan Trudeau |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 4822 N Broadway St, Chicago, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1780975011
- Provider Enumeration Date: 04/20/2011
- Last Update Date: 04/20/2011
Medical Identifiers
Medical identifiers for Ms Susan Trudeau such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780975011 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 12732 (Illinois) | Secondary |
| 1041C0700X | Social Worker - Clinical | 149.006965 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Susan Trudeau is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Susan Trudeau, LCSW
3727 N Marshfield Ave, #3,
Chicago, IL 60613-3621
Ph: (773) 404-2577 | Ms Susan Trudeau, LCSW
4822 N Broadway St, 2nd Floor,
Chicago, IL 60640-3604
Ph: (773) 433-1253 |
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