Individual
BERNADETTE R GAFFNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
2000 N RACINE AVE, SUITE 2020, CHICAGO, IL 60614-4045
(773) 430-9644
(773) 770-3577
Mailing address
2000 N RACINE AVE, SUITE 2020, CHICAGO, IL 60614-4045
(773) 430-9644
(773) 770-3577
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149-007624
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1633611
BLUE CROSS &BLUE SHIELD
IL
01
—
300212612
AETNA
IL
01
—
566044
VALUE OPTIONS
IL
Enumeration date
01/03/2007
Last updated
05/10/2013
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