Provider Demographics
NPI:1477256253
Name:CARRIG, KAITLIN (MSW, LSW)
Entity Type:Individual
Prefix:
First Name:KAITLIN
Middle Name:
Last Name:CARRIG
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 E OAK ST APT 3305
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-6200
Mailing Address - Country:US
Mailing Address - Phone:713-248-4610
Mailing Address - Fax:
Practice Address - Street 1:122 S MICHIGAN AVE STE 1300
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60603-6184
Practice Address - Country:US
Practice Address - Phone:312-487-1420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-22
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker