Individual
BRITTNEY BASTIDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6201 ROOSEVELT RD, BERWYN, IL 60402-1108
(708) 386-0835
Mailing address
2230 S 50TH AVE, CICERO, IL 60804-2434
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.116716
IL
1041C0700X
Clinical Social Worker
Primary
149.031676
IL
Other
Enumeration date
05/28/2025
Last updated
04/13/2026
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