Provider Demographics
NPI:1124568340
Name:CASAS, RIKKI (LCPC)
Entity Type:Individual
Prefix:MRS
First Name:RIKKI
Middle Name:
Last Name:CASAS
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:RIKKI
Other - Middle Name:
Other - Last Name:CARLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3338 N LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-1108
Mailing Address - Country:US
Mailing Address - Phone:708-320-9679
Mailing Address - Fax:
Practice Address - Street 1:3338 N LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-1108
Practice Address - Country:US
Practice Address - Phone:708-320-9679
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-07
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180012928101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty