Angel Nicole Tatum, LSW is a
Social Worker based in Chicago, Illinois. Angel Nicole Tatum is licensed to practice in Illinois (license number 150.104413) and her current practice location is
500 N Michigan Ave Ste 1530, Chicago, Illinois. She can be reached at her office (for appointments etc.) via phone at
(630) 428-7890.
NPI number for Angel Nicole Tatum is 1871187500 and her current mailing address is 8141 S Marshfield Ave Apt 3, Chicago, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1871187500.
Healthcare Provider's Profile
| Full Name | Angel Nicole Tatum |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 500 N Michigan Ave Ste 1530, 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: 1871187500
- Provider Enumeration Date: 02/23/2021
- Last Update Date: 02/23/2021
Medical Identifiers
Medical identifiers for Angel Nicole Tatum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871187500 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP1600X | Counselor - Pastoral | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | 150.104413 (Illinois) | Primary |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
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. Angel Nicole Tatum 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 |
|---|
Angel Nicole Tatum, LSW
8141 S Marshfield Ave Apt 3,
Chicago, IL 60620-5791
Ph: (912) 580-9885 | Angel Nicole Tatum, LSW
500 N Michigan Ave Ste 1530,
Chicago, IL 60611-3758
Ph: (630) 428-7890 |
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