Organization
CLEARWATER COUNSELING CHICAGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA ROSENBERG LCPC (OWNER)
(407) 451-4619
Entity
Organization
Contact information
Practice address
1165 N CLARK ST STE 305, CHICAGO, IL 60610-7862
(312) 880-9913
(877) 787-9891
Mailing address
1165 N CLARK ST STE 305, CHICAGO, IL 60610-7862
(312) 880-9913
(844) 787-9891
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/13/2017
Last updated
04/10/2025
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