Individual
ANDREW DANIEL BAHENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, MSW, PEL: SSW
Contact information
Practice address
1409 W CARROLL AVE, CHICAGO, IL 60607-1105
(312) 733-0883
Mailing address
1409 W CARROLL AVE, CHICAGO, IL 60607-1105
(312) 733-0883
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.027119
IL
1041S0200X
School Social Worker
150.110743
IL
Other
Enumeration date
05/20/2022
Last updated
01/12/2026
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