| Rebecca Kieffer, Lcsw Llc | |
|
2530 Crawford Ave 311 Evanston IL 60201-4970 | |
| (224) 600-2531 | |
| (312) 945-7505 |
| Full Name | Rebecca Kieffer, Lcsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2530 Crawford Ave, Evanston, Illinois |
| Authorized Official Name and Position | Rebecca Kieffer (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2246002531 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rebecca Kieffer, Lcsw Llc 2702 Crawford Ave Evanston IL 60201-4924 Ph: (224) 600-2531 | Rebecca Kieffer, Lcsw Llc 2530 Crawford Ave 311 Evanston IL 60201-4970 Ph: (224) 600-2531 |
| NPI Number | 1871040121 |
|---|---|
| Provider Enumeration Date | 09/03/2016 |
| Last Update Date | 02/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871040121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149015242 (Illinois) | Primary |
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