| Joanne Underwood, Lcsw, Pllc | |
|
2310 Asbury Ave Evanston IL 60201-2603 | |
| (773) 318-5872 | |
| Not Available |
| Full Name | Joanne Underwood, Lcsw, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 2310 Asbury Ave, Evanston, Illinois |
| Authorized Official Name and Position | Joanne Underwood (LCSW) |
| Authorized Official Contact | 7733185872 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joanne Underwood, Lcsw, Pllc 2310 Asbury Ave Evanston IL 60201-2603 Ph: () - | Joanne Underwood, Lcsw, Pllc 2310 Asbury Ave Evanston IL 60201-2603 Ph: (773) 318-5872 |
| NPI Number | 1114780335 |
|---|---|
| Provider Enumeration Date | 01/31/2024 |
| Last Update Date | 01/31/2024 |
| Certification Date | 01/31/2024 |
| Medicare PECOS PAC ID | 4587101969 |
|---|---|
| Medicare Enrollment ID | O20240802001624 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114780335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Joanne R Underwood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710053236 PECOS PAC ID: 5092897272 Enrollment ID: I20080126000090 |
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