Provider Demographics
NPI:1164934170
Name:PINSOF, CAITLIN GRACE (LCPC)
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:GRACE
Last Name:PINSOF
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1239 1/2 W GREENLEAF AVE APT 2N
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60626-2986
Mailing Address - Country:US
Mailing Address - Phone:312-961-4441
Mailing Address - Fax:312-961-4441
Practice Address - Street 1:401 N MICHIGAN AVE STE 1200
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-4264
Practice Address - Country:US
Practice Address - Phone:312-961-4441
Practice Address - Fax:312-584-4228
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-31
Last Update Date:2020-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178013394101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional