Individual
EMMA WEINSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2601 W HADDON AVE APT 3E, CHICAGO, IL 60622-3785
(513) 967-3811
Mailing address
2601 W HADDON AVE APT 3E, CHICAGO, IL 60622-3785
(513) 967-3811
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.022068
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14693937
CAQH
—
Enumeration date
10/14/2019
Last updated
06/25/2020
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