Provider Demographics
NPI:1164022422
Name:GATCHELL, BRITTANY LAUREN (LCSW)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:LAUREN
Last Name:GATCHELL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:BEA
Other - Middle Name:
Other - Last Name:GATCHELL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:7448 N DAMEN AVE APT 3N
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60645-2258
Mailing Address - Country:US
Mailing Address - Phone:415-902-2305
Mailing Address - Fax:
Practice Address - Street 1:7448 N DAMEN AVE APT 3N
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60645-2258
Practice Address - Country:US
Practice Address - Phone:415-902-2305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-27
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490215961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical