Provider Demographics
NPI:1033264429
Name:MCGILL, CELESTE (LCSW, CADC)
Entity Type:Individual
Prefix:MS
First Name:CELESTE
Middle Name:
Last Name:MCGILL
Suffix:
Gender:F
Credentials:LCSW, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3473 S KING DR
Mailing Address - Street 2:# 262
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60616-4108
Mailing Address - Country:US
Mailing Address - Phone:773-548-8094
Mailing Address - Fax:773-548-8093
Practice Address - Street 1:4937 S SAINT LAWRENCE AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60615-2411
Practice Address - Country:US
Practice Address - Phone:773-548-8094
Practice Address - Fax:773-548-8093
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2018-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0077581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical