Individual
ANDREA BETH SCHULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5756 N RIDGE AVE STE 8, CHICAGO, IL 60660-5332
(608) 347-9597
Mailing address
1020 AUSTIN ST, EVANSTON, IL 60202-2705
(608) 347-9597
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149017149
IL
1041C0700X
Clinical Social Worker
6704-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43568800
—
WI
Enumeration date
07/25/2006
Last updated
02/26/2019
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