TERRANCE S. MC NICHOLASLCSWPC. NPI 1073614699

NPI Information

NPI: 1073614699
Provider Name: TERRANCE S. MC NICHOLAS,LCSW,PC.
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
30 N MICHIGAN AVE
SUITE 1604
CHICAGO, IL
ZIP 60602
Phone: (312) 629-0018
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TERRANCE S. MC NICHOLAS,LCSW,PC. is a mental health counselor in Chicago, IL. TERRANCE S. MC NICHOLAS,LCSW,PC. NPI is 1073614699. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

30 N MICHIGAN AVE
SUITE 1604
CHICAGO, IL
ZIP 60602-402
Phone: (312) 629-0018
Fax: (312) 629-1178

The provider's authorized official is Terrance S. Mc Nicholas .
The authorized official title is Licensed Clinical Social Worker and has the following contact phone number (312) 629-0018.

The enumeration date for this NPI number is 9/26/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health		ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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